NPIMap

Organization Active NPI

Wellcare Home Agency, Corp.

  • Adult Companion
  • Miami, FL
National Provider Identifier
1346017985
Registry record updated Dec 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult CompanionTaxonomy code 372600000X
Legal business name
WELLCARE HOME AGENCY, CORP.
Practice address
11132 Peachtree Dr
Miami, FL 33161-6850
Phone
(863) 257-5555
NPI assigned
Dec 5, 2023
Organization subpart
Yes
Parent organization
WELLCARE HOME AGENCY, CORP.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 5, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Yudith Fernandez
Title
Administrator
Phone
(863) 257-5555

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Companion 372600000X Primary

Addresses

Primary practice location

11132 Peachtree Dr
Miami, FL 33161-6850

Mailing address

PO Box 530397
Miami, FL 33153-0397

National Provider Directory

National Provider Directory
Tax ID family
Wellcare Home Agency Corp2 organizations share this tax ID, including this one
Part of
Wellcare Home Agency Corp

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1701734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701734400000",
    "number": "1346017985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 530397",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331530397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11132 PEACHTREE DR",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331616850",
            "telephone_number": "863-257-5555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLCARE HOME AGENCY, CORP.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WELLCARE HOME AGENCY, CORP.",
        "enumeration_date": "2023-12-05",
        "last_updated": "2023-12-05",
        "certification_date": "2023-01-12",
        "status": "A",
        "authorized_official_last_name": "FERNANDEZ",
        "authorized_official_first_name": "YUDITH",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "863-257-5555",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "372600000X",
            "taxonomy_group": "",
            "desc": "Adult Companion",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.