Wellness Wagon LLC

Primary specialty

Secured Medical Transport (VAN)Taxonomy code 343800000X

Legal business name

WELLNESS WAGON LLC

Practice address

1113 Abrams Rd Apt 161
Richardson, TX 75081-5516

Phone

(605) 230-1582

NPI assigned

Aug 9, 2023

Organization subpart

No

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

Authorized official

Name

Mrs. Luwam G Fesshatsion

Title

Owner

Phone

(605) 230-1582

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1691539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692748800000",
    "number": "1750064358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1113 ABRAMS RD APT 161",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750815516",
            "telephone_number": "605-230-1582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1113 ABRAMS RD APT 161",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750815516",
            "telephone_number": "605-230-1582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESS WAGON LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-09",
        "last_updated": "2023-08-23",
        "certification_date": "2023-08-23",
        "status": "A",
        "authorized_official_last_name": "FESSHATSION",
        "authorized_official_first_name": "LUWAM",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "605-230-1582",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "343800000X",
            "taxonomy_group": "",
            "desc": "Secured Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Benjamin T Welch, CNIM
• Dyanne L Welch, CNIM, REPT
• Wellcare People Home Health, Inc.
• Wellness Care Centers, LLC
• Wellness Innovations
• Karen Gale Wells, COTA
• Craig William Weltge, M.D.
• Limei Wang Weng, MA
• Andra Lavonne Wesley, PH.D.
• Thomas Joseph Wesley

• Secured Medical Transport (VAN) in Richardson, TX
• Providers in Richardson, TX by specialty
• Secured Medical Transport (VAN) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2023; 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.