MEDICARE: VELORA CARE SOLUTIONS LL

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1346173556
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VELORA CARE SOLUTIONS LL

Provider Business Mailing Address
First Line	:	621 42ND ST E APT 535
Second Line	:
City	:	WILLISTON
State	:	ND
Zip	:	58801-6828
Country	:	US
Telephone Number	:	786-606-4555
Fax Number	:	786-606-4555

Provider Business Practice Location Address
First Line	:	621 42ND ST E APT 535
Second Line	:
City	:	WILLISTON
State	:	ND
Zip	:	58801-6828
Country	:	US
Telephone Number	:	786-606-4555
Fax Number	:	786-606-4555

Authorized Official
Title or Position	:	CEO
Name	:	GWENDOLYN MASHAIRE
Credential	:	CNA
Telephone Number	:	786-606-4555

Provider Enumeration Date	:	06/06/2026
Last Update Date	:	06/06/2026

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