Wellstar Home Health Services, Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

WELLSTAR HOME HEALTH SERVICES, INC

Practice address

479 Mason St Ste 309
Vacaville, CA 95688-4542

Phone

(707) 689-5674

Fax

(707) 689-5274

NPI assigned

Jul 3, 2019

Last updated

Mar 23, 2022By 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

Syril Simon

Title

Owner

Phone

(718) 316-5603

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1750943304. Details of each certification follow.

• CCN 559648 Home health agency · Active · Details

Home health agency certification: CCN 559648

Legal name

WELLSTAR HOME HEALTH SERVICES INC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Nov 9, 2021

Last certification

Nov 9, 2021

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Incorporated

Jun 24, 2019 in CA

Enrollment address

479 Mason St
Ste 309
Vacaville, CA 95688-4542

Listed as

Wellstar Home Health ServicesCCN 559648 · All quality measures

Overall star rating

4.5 of 5

Ownership

Proprietary

Certified

Nov 9, 2021

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

All disclosed owners & managing parties 4

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Kathryn Amacher, DO

  • Geriatric Medicine (Internal Medicine) Physician
  • Vacaville, CA
  • NPI 1366545568

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1562112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647993600000",
    "number": "1750943304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "479 MASON ST STE 309",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "956884542",
            "telephone_number": "707-689-5674",
            "fax_number": "707-689-5274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "479 MASON ST STE 309",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "956884542",
            "telephone_number": "707-689-5674",
            "fax_number": "707-689-5274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLSTAR HOME HEALTH SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-03",
        "last_updated": "2022-03-23",
        "certification_date": "2022-03-23",
        "status": "A",
        "authorized_official_last_name": "SIMON",
        "authorized_official_first_name": "SYRIL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-316-5603"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jenna Darlene Weathers, ACSW
• Michelle R Weber, PSY.D.
• Liberty Webster
• Rachel Kristine Webster
• Michal Sue Weinman, P.T.
• Evanne Elizabeth Welsh
• Jennifer Snell Welter, DPT
• Michael Peter Welton, DDS
• Laurie Anne Wender, MFT
• Wendy Wigmore (Jackson Medical Supply)

• Home Health Agency in Vacaville, CA
• Providers in Vacaville, CA by specialty
• Home Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.