Wellcare Inc of Roswell

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

3150 Issued in NM

Legal business name

WELLCARE INC OF ROSWELL

Doing business as

WellCare Home Health

Practice address

313 W 2ND St
Roswell, NM 88201-4609

Phone

(505) 622-9355

Fax

(505) 622-9370

NPI assigned

Sep 26, 2006

Last updated

Aug 22, 2020By 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

April K Anthony

Title

Ceo

Phone

(214) 239-6500

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• WellCare Home Health Doing business as

Locations

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1811098478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6688 N CENTRAL EXPY",
            "address_2": "SUITE 1300",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752063914",
            "telephone_number": "214-239-6500",
            "fax_number": "915-845-5772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "313 W 2ND ST",
            "city": "ROSWELL",
            "state": "NM",
            "postal_code": "882014609",
            "telephone_number": "505-622-9355",
            "fax_number": "505-622-9370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLCARE INC OF ROSWELL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ANTHONY",
        "authorized_official_first_name": "APRIL",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "214-239-6500"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NM",
            "license": "3150",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "3249",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "94701369",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WellCare Home Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Andrew Neil Wasserberg, PA
• Brandon Waters
• Ann Marie Watkins, RPH
• Michelle Watkins
• Wayne a Delamater MD PA
• Wellcare, Inc. (Enhabit Home Health)
• Wellness on Wheels LLC (Wellness on Wheels)
• Wellspring of Life Enterprises LLC
• Donald E Wenner III, M.D.
• Donald E. Wenner, M.D.

• Home Health Agency in Roswell, NM
• Providers in Roswell, NM by specialty
• Home Health Agency in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.