Wellcare Health Services Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

N/A Issued in CA

Legal business name

WELLCARE HEALTH SERVICES INC.

Practice address

3429 Crenshaw Blvd
Suite#1
Los Angeles, CA 90016-4845

Phone

(323) 776-3011

Fax

(323) 731-7069

NPI assigned

Nov 25, 2009

Organization subpart

No

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

Authorized official

Name

Ms. Dolly Iguh, MBA

Title

Administrator/Ceo

Phone

(323) 776-3011

Specialties & licenses 1

Addresses

Other names 1

• WellCare Health Services Inc. Doing business as

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

{
    "created_epoch": "1259107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1259107200000",
    "number": "1366770638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3429 CRENSHAW BLVD",
            "address_2": "SUITE #1",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900164845",
            "telephone_number": "323-776-3011",
            "fax_number": "323-731-7069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3429 CRENSHAW BLVD",
            "address_2": "SUITE#1",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900164845",
            "telephone_number": "323-776-3011",
            "fax_number": "323-731-7069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLCARE HEALTH SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-25",
        "last_updated": "2009-11-25",
        "status": "A",
        "authorized_official_last_name": "IGUH",
        "authorized_official_first_name": "DOLLY",
        "authorized_official_title_or_position": "ADMINISTRATOR/CEO",
        "authorized_official_telephone_number": "323-776-3011",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": "N/A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WellCare Health Services Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Wellcare Physical Therapy Inc.
• Wellcare Wound & Podiatry Services Inc
• Adam Claude Welles
• Sean Welling, CADC-I

• Home Health Agency in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Home Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2009; 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.