MEDICARE: WELLCARE BY RN 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	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1518726785
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WELLCARE BY RN LLC

Provider Business Mailing Address
First Line	:	2328 10TH AVE N STE 503
Second Line	:
City	:	LAKE WORTH
State	:	FL
Zip	:	33461-6615
Country	:	US
Telephone Number	:	561-315-1227
Fax Number	:

Provider Business Practice Location Address
First Line	:	2328 10TH AVE N STE 503
Second Line	:
City	:	LAKE WORTH
State	:	FL
Zip	:	33461-6615
Country	:	US
Telephone Number	:	561-315-1227
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	EMMANUELLA NERELUS
Credential	:	RN
Telephone Number	:	561-315-1227

Provider Enumeration Date	:	03/18/2024
Last Update Date	:	03/18/2024

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