MEDICARE: WELLNESS WITH A HEART, LLC

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	:	1417683368
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WELLNESS WITH A HEART, LLC

Provider Business Mailing Address
First Line	:	1 COLUMBUS CTR STE 614
Second Line	:
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23462-6783
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1 COLUMBUS CTR STE 614
Second Line	:
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23462-6783
Country	:	US
Telephone Number	:	757-687-8182
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	CRAIG HENDRICKS
Credential	:
Telephone Number	:	973-970-4278

Provider Enumeration Date	:	07/25/2022
Last Update Date	:	07/25/2022

Similar Medicare Providers

1295068203 — LINDSAY C. GIBSON, PSY.D. PLLC
Practice Location Address:

1 COLUMBUS CTR STE 615
VIRGINIA BEACH, VA
23462-6783

Practice Phone: 757-490-7811
Practice Fax: 757-436-6433

1942823141 — TIA NICOLE SKINNER HAIR LOSS SPECIALIST
Practice Location Address:

5347 LILA LN
VIRGINIA BEACH, VA
23464-6783

Practice Phone: 757-201-5442
Practice Fax:

1619567526 — ELEGANT STYLES BY TIA
Practice Location Address:

5347 LILA LN
VIRGINIA BEACH, VA
23464-6783

Practice Phone: 757-201-5442
Practice Fax:

1700831476 — BRENT ALAN SANDERS DC, PA-C
Practice Location Address:

4510 DONALD ROSS RD
PALM BEACH GARDENS, FL
33418-6783

Practice Phone: 910-691-1853
Practice Fax:

1063450310 — RAMON ALVAREZ MD
Practice Location Address:

4510 DONALD ROSS RD
PALM BEACH GARDENS, FL
33418-6783

Practice Phone: 954-801-7748
Practice Fax: 561-253-3779

1982615902 — COSMETIC SURGERY CLINICS
Practice Location Address:

32406 COAST HWY STE 1
LAGUNA BEACH, CA
92651-6783

Practice Phone: 949-499-4147
Practice Fax: 949-499-2585

Directions to “WELLNESS WITH A HEART, LLC ” 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.