NPIMap

Organization Active NPI

Wellness Home LLC

  • Case Management Agency
  • Seattle, WA
National Provider Identifier
1780349621
Registry record updated Oct 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
WELLNESS HOME LLC
Practice address
3250 Airport Way S Ste No227
Seattle, WA 98134-2167
Phone
(206) 446-1272
NPI assigned
Nov 5, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2022

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

Authorized official

Name
Rabeya SurakaNPI 1669135091
Title
Owner
Phone
(206) 446-1272

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

3250 Airport Way S Ste No227
Seattle, WA 98134-2167

Mailing address

3250 Airport Way S Ste No227
Seattle, WA 98134-2167

National Provider Directory

National Provider Directory

Locations

3250 Airport Way S
Ste NO227
Seattle, WA 98134
Phone (206) 446-1272

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1636070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666742400000",
    "number": "1780349621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3250 AIRPORT WAY S STE NO227",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981342167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3250 AIRPORT WAY S STE NO227",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981342167",
            "telephone_number": "206-446-1272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESS HOME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-05",
        "last_updated": "2022-10-26",
        "certification_date": "2022-10-26",
        "status": "A",
        "authorized_official_last_name": "SURAKA",
        "authorized_official_first_name": "RABEYA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "206-446-1272"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2022; 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.