MEDICARE: WELLNESS GROUP HOME CORPORATION

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	251E00000X	Home Health Agency
2	251J00000X	Nursing Care Agency
3	332B00000X	Durable Medical Equipment & Medical Supplies
4	343900000X	Non-emergency Medical Transport (VAN)
5	310400000X	Assisted Living Facility

General Provider Information

NPI Number	:	1003460767
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WELLNESS GROUP HOME CORPORATION

Provider Business Mailing Address
First Line	:	2606 64TH AVE N
Second Line	:
City	:	BROOKLYN CENTER
State	:	MN
Zip	:	55430-2007
Country	:	US
Telephone Number	:	612-205-6554
Fax Number	:

Provider Business Practice Location Address
First Line	:	2606 64TH AVE N
Second Line	:
City	:	BROOKLYN CENTER
State	:	MN
Zip	:	55430-2007
Country	:	US
Telephone Number	:	612-205-6554
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	ABDIRASHID J ARAB
Credential	:
Telephone Number	:	612-205-6554

Provider Enumeration Date	:	07/30/2019
Last Update Date	:	04/27/2020

Similar Medicare Providers

1518959295 — DR. BONNIE JEAN LEES MD
Practice Location Address:

8200 DODGE STREET , CHILDREN'S HOSPITAL & MEDICARE CENTER
OMAHA, NE
68114-4113

Practice Phone: 402-955-6140
Practice Fax: 402-955-3398

1134238652 — RITE AID OF NEW YORK INC
Practice Location Address:

2007 86TH STREET
BROOKLYN, NY
11214-3203

Practice Phone: 718-373-8185
Practice Fax:

1669653275 — DEBORAH A TRAINOR
Practice Location Address:

2007 86TH ST
BROOKLYN, NY
11214-3203

Practice Phone: 718-373-8185
Practice Fax:

1962684092 — SVETLANA RAKHMAN RPH
Practice Location Address:

2007 86TH ST
BROOKLYN, NY
11214-3203

Practice Phone: 718-373-8185
Practice Fax:

1245408913 — RITE CHOICE TRANSPORTATION INC
Practice Location Address:

436 KOSCIUSZKO ST
BROOKLYN, NY
11221-2007

Practice Phone: 718-452-1172
Practice Fax: 718-452-2319

1902044803 — JOHN THEODORAKIS RPH
Practice Location Address:

2007 86TH ST
BROOKLYN, NY
11214-3203

Practice Phone: 718-373-8185
Practice Fax:

Directions to “WELLNESS GROUP HOME CORPORATION ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.