Organization Active NPI

Wellness Home Health Agency LLC

  • Home Health Agency
  • Vallejo, CA
National Provider Identifier
1376784009
Registry record updated Sep 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
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

Updated by the provider on Sep 17, 2009

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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.