NPIMap

Organization Active NPI

Wellness Home Care, LTD.

  • Home Health Agency
  • Goshen, NY
National Provider Identifier
1912016932
Registry record updated May 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
0023L001 Issued in NY
Legal business name
WELLNESS HOME CARE, LTD.
Practice address
252 Main St
Goshen, NY 10924-2178
Phone
(845) 294-8364
Fax
(845) 294-8966
NPI assigned
Aug 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2010

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

Authorized official

Name
Ms. Judy Charlotte Balaban-Krauss, BSN
Title
Ceo
Phone
(845) 294-8364

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 0023L001 NY Primary

Addresses

Primary practice location

252 Main St
Goshen, NY 10924-2178

Mailing address

252 Main St
Goshen, NY 10924-2178
Phone (845) 294-8364

Other identifiers 2

IdentifierTypeStateIssuer
00925282MedicaidNY
01009205MedicaidNY

National Provider Directory

National Provider Directory

Locations

252 Main St
Goshen, NY 10924
Phone (845) 294-1513

Practitioners & affiliated clinicians

Practitioners 7

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": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273622400000",
    "number": "1912016932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "252 MAIN ST",
            "city": "GOSHEN",
            "state": "NY",
            "postal_code": "109242178",
            "telephone_number": "845-294-8364",
            "fax_number": "845-294-8966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "252 MAIN ST",
            "city": "GOSHEN",
            "state": "NY",
            "postal_code": "109242178",
            "telephone_number": "845-294-8364",
            "fax_number": "845-294-8966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESS HOME CARE, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2010-05-12",
        "status": "A",
        "authorized_official_last_name": "BALABAN-KRAUSS",
        "authorized_official_first_name": "JUDY",
        "authorized_official_middle_name": "CHARLOTTE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "845-294-8364",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "BSN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NY",
            "license": "0023L001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00925282",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01009205",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Goshen, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2010; 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.