Wellness Care Services LLC

Primary specialty

Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X

Legal business name

WELLNESS CARE SERVICES LLC

Practice address

11041 Hensell Rd
Holly, MI 48442-8054

Phone

(810) 656-2208

Fax

(810) 545-4196

NPI assigned

Jun 5, 2023

Organization subpart

No

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

Authorized official

Name

Angela Marie Hanna, AGACNPNPI 1659850162

Title

NP/Owner

Phone

(810) 656-2208

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Angela Marie Hanna, NP

  • Geriatric Medicine (Family Medicine) Physician
  • Holly, MI
  • NPI 1659850162
  Medicare reassignment NPD Authorized official
• Lynn M Larson, D.O.

  • Internal Medicine Physician
  • Owosso, MI
  • NPI 1104021765
  Medicare reassignment NPD
• Ahmad Taha Hannan, M.D.

  • Pulmonary Disease Physician
  • Holly, MI
  • NPI 1104938638
  NPD

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

{
    "created_epoch": "1685923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703635200000",
    "number": "1508550583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11041 HENSELL RD",
            "city": "HOLLY",
            "state": "MI",
            "postal_code": "484428054",
            "telephone_number": "810-656-2208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11041 HENSELL RD",
            "city": "HOLLY",
            "state": "MI",
            "postal_code": "484428054",
            "telephone_number": "810-656-2208",
            "fax_number": "810-545-4196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESS CARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-05",
        "last_updated": "2023-12-27",
        "certification_date": "2023-12-27",
        "status": "A",
        "authorized_official_last_name": "HANNA",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "NP/OWNER",
        "authorized_official_telephone_number": "810-656-2208",
        "authorized_official_credential": "AGACNP"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Village of Holly
• Terri Vossen, DSW
• Jeffrey Walker
• Jessie Walker
• Alicia Ann Gillman Warrick, DPT
• Howard Allen White, ED.D
• Jason Mathieu White, D.C.
• Wholeness Recovered LLC
• Angela Marie Wilkison, PMHNP
• William Boggs P.C.

• Geriatric Medicine (Family Medicine) Physician in Holly, MI
• Providers in Holly, MI by specialty
• Geriatric Medicine (Family Medicine) Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.