Wellness Hospice LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

WELLNESS HOSPICE LLC

Practice address

1704 Springs Rd
Suite a
Vallejo, CA 94591-5474

Phone

(707) 643-2100

Fax

(707) 643-4028

NPI assigned

Jun 12, 2012

Organization subpart

Yes

Parent organization

WELLNESS HOSPICE LLCAs reported in NPPES

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

Authorized official

Name

Emerlino R Manaid

Title

Ceo

Phone

(707) 643-2100

Specialties & licenses 1

Addresses

Part of

Wellness Hospice LLC

Locations

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

{
    "created_epoch": "1339459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339459200000",
    "number": "1881956233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1704 SPRINGS RD.",
            "address_2": "SUITE A",
            "city": "VALLEJO",
            "state": "CA",
            "postal_code": "945915475",
            "telephone_number": "707-643-2100",
            "fax_number": "707-643-4028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1704 SPRINGS RD",
            "address_2": "SUITE A",
            "city": "VALLEJO",
            "state": "CA",
            "postal_code": "945915474",
            "telephone_number": "707-643-2100",
            "fax_number": "707-643-4028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESS HOSPICE LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WELLNESS HOSPICE LLC",
        "enumeration_date": "2012-06-12",
        "last_updated": "2012-06-12",
        "status": "A",
        "authorized_official_last_name": "MANAID",
        "authorized_official_first_name": "EMERLINO",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "707-643-2100"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Brandon Weis
• Keith Welch
• Joan Evelyn Weldon
• Wellbound of Vallejo LLC (WellBound of Vallejo)
• Wellness Home Health Agency LLC (n/a)
• Robin Wempe, PA
• Jazelle David Wenceslao
• Wendy a. Wigmore (Jackson Medical Supply)
• Kimberly Westbrook, CRNA
• Western Dental Services, Inc.

• Community Based Hospice Care Agency in Vallejo, CA
• Providers in Vallejo, CA by specialty
• Community Based Hospice Care Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2012; 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.