Active NPI
Wellness Home Health Agency LLC
- Home Health Agency
- Vallejo, CA
National Provider Identifier
1376784009
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- WELLNESS HOME HEALTH AGENCY LLC
- Practice address
- 1704 Springs Rd Suite B
Vallejo, CA 94591-5475 - Phone
- (707) 643-2879
- Fax
- (707) 643-4028
- NPI assigned
- Mar 9, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Emerlino R. Manaid
- Title
- Ceo
- Phone
- (707) 643-2100
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
1704 Springs Rd Suite B
Vallejo, CA 94591-5475
Mailing address
1704 Springs Rd
Vallejo, CA 94591-5474
Phone (707) 643-2879
Other names 1
- n/a
National Provider Directory
National Provider DirectoryLocations
1704 Springs Rd
Vallejo, CA 94591
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1236556800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1253145600000",
"number": "1376784009",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1704 SPRINGS RD",
"city": "VALLEJO",
"state": "CA",
"postal_code": "945915474",
"telephone_number": "707-643-2879",
"fax_number": "707-643-4028"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1704 SPRINGS RD SUITE B",
"city": "VALLEJO",
"state": "CA",
"postal_code": "945915475",
"telephone_number": "707-643-2879",
"fax_number": "707-643-4028"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WELLNESS HOME HEALTH AGENCY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2009-03-09",
"last_updated": "2009-09-17",
"status": "A",
"authorized_official_last_name": "MANAID",
"authorized_official_first_name": "EMERLINO",
"authorized_official_middle_name": "R.",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "707-643-2100",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "n/a",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Vallejo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 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.