Active NPI
Annette M. Wellington-Hall, Inc
- Home Health Agency
- Hollywood, FL
National Provider Identifier
1881820512
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 299993762
- Legal business name
- ANNETTE M. WELLINGTON-HALL, INC
- Practice address
- 5830 Sheridan Street
Hollywood, FL 33021 - Phone
- (954) 437-9880
- Fax
- (954) 437-9881
- NPI assigned
- Jun 9, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Annette M Wellington, RN
- Title
- Administrator
- Phone
- (954) 437-9880
Specialties & licenses 10
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 299993762 | FL | Primary |
| Nursing Care Agency | 251J00000X | 299993762 | FL | |
| Clinical Medical Laboratory | 291U00000X | 10D2012729 | FL | |
| Private Vehicle | 347C00000X | |||
| Private Vehicle | 347C00000X | 230571 | FL | |
| Adult Companion | 372600000X | |||
| Home Health Aide | 374U00000X | 299993762 | FL | |
| Homemaker | 376J00000X | |||
| Homemaker | 376J00000X | 29993762 | FL | |
| Nurse's Aide | 376K00000X | 29993762 | FL |
Addresses
Primary practice location
5830 Sheridan Street
Hollywood, FL 33021
Mailing address
5830 Sheridan Street
Hollywood, FL 33021
Phone (954) 437-9880
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 230571 | Other | FL | ACHA |
| 299993762 | Other | FL | ACHA |
Other names 1
- SENIOR HELPERS
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D2012729 | Senior Helpers | Certificate of waiver | Sep 7, 2026 |
National Provider Directory
National Provider DirectoryLocations
5830 Sheridan St
Hollywood, FL 33021
Phone (954) 437-9880
8910 Miramar Pkwy
Ste 316
Miramar, FL 33025
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1244505600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1653609600000",
"number": "1881820512",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5830 SHERIDAN STREET",
"city": "HOLLYWOOD",
"state": "FL",
"postal_code": "33021",
"telephone_number": "954-437-9880",
"fax_number": "954-437-9881"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5830 SHERIDAN STREET",
"city": "HOLLYWOOD",
"state": "FL",
"postal_code": "33021",
"telephone_number": "954-437-9880",
"fax_number": "954-437-9881"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ANNETTE M. WELLINGTON-HALL, INC",
"organizational_subpart": "NO",
"enumeration_date": "2009-06-09",
"last_updated": "2022-05-27",
"certification_date": "2022-05-27",
"status": "A",
"authorized_official_last_name": "WELLINGTON",
"authorized_official_first_name": "ANNETTE",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "954-437-9880",
"authorized_official_credential": "RN"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "FL",
"license": "299993762",
"primary": true
},
{
"code": "251J00000X",
"taxonomy_group": "",
"desc": "Nursing Care",
"state": "FL",
"license": "299993762",
"primary": false
},
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": "FL",
"license": "10D2012729",
"primary": false
},
{
"code": "347C00000X",
"taxonomy_group": "",
"desc": "Private Vehicle",
"state": null,
"license": null,
"primary": false
},
{
"code": "347C00000X",
"taxonomy_group": "",
"desc": "Private Vehicle",
"state": "FL",
"license": "230571",
"primary": false
},
{
"code": "372600000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Adult Companion",
"state": null,
"license": null,
"primary": false
},
{
"code": "374U00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Home Health Aide",
"state": "FL",
"license": "299993762",
"primary": false
},
{
"code": "376J00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Homemaker",
"state": null,
"license": null,
"primary": false
},
{
"code": "376J00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Homemaker",
"state": "FL",
"license": "29993762",
"primary": false
},
{
"code": "376K00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse's Aide",
"state": "FL",
"license": "29993762",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ACHA",
"identifier": "230571",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ACHA",
"identifier": "299993762",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "SENIOR HELPERS",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "SENIOR HELPERS",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Hollywood, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.