Wellness in the Golden Years, LLC

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

Legal business name

WELLNESS IN THE GOLDEN YEARS, LLC

Practice address

421 W Est Main Street
Rosebud, TX 76570

Phone

(254) 721-2563

NPI assigned

Mar 9, 2018

Last updated

Jul 27, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Holly Portillo, NURSE PRACTITIONERNPI 1063814101

Title

Manager/Co-Owner

Phone

(254) 721-2563

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Holly Portillo, NP

  • Adult Health Nurse Practitioner
  • Rosebud, TX
  • NPI 1063814101
  Authorized official Same address or phone

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

{
    "created_epoch": "1520553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532649600000",
    "number": "1578066114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 64",
            "city": "ROSEBUD",
            "state": "TX",
            "postal_code": "765700064",
            "telephone_number": "254-721-2563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 W EST MAIN STREET",
            "city": "ROSEBUD",
            "state": "TX",
            "postal_code": "76570",
            "telephone_number": "254-721-2563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESS IN THE GOLDEN YEARS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-09",
        "last_updated": "2018-07-27",
        "status": "A",
        "authorized_official_last_name": "PORTILLO",
        "authorized_official_first_name": "HOLLY",
        "authorized_official_title_or_position": "MANAGER/CO-OWNER",
        "authorized_official_telephone_number": "254-721-2563",
        "authorized_official_credential": "NURSE PRACTITIONER"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jinny Narula, M.D.
• Holly Portillo, NP
• Rosebud I Enterprises, L.L.C. (Heritage House Nursing and Rehabilitation)
• Sterling Health & Wellness
• Ruthann Marie Vorndran

• Adult Health Nurse Practitioner in Rosebud, TX
• Providers in Rosebud, TX by specialty
• Adult Health Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2018; 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.