MEDICARE: WELL-DONE HOME CARE, INC

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	HHA299991627	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	JV9	OTHER	FL	BLUE CROSS & BLUE SHEILD

General Provider Information

NPI Number	:	1700851185
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WELL-DONE HOME CARE, INC

Provider Business Mailing Address
First Line	:	8150 N CENTRAL EXPY STE 1800
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75206-1883
Country	:	US
Telephone Number	:	469-839-3777
Fax Number	:	469-983-2083

Provider Business Practice Location Address
First Line	:	10250 NORMANDY BLVD
Second Line	:	STE 502
City	:	JACKSONVILLE
State	:	FL
Zip	:	32221-8059
Country	:	US
Telephone Number	:	904-693-4516
Fax Number	:	904-693-4518

Authorized Official
Title or Position	:	LICENSING MANAGER
Name	:	ANGIE MARTIN
Credential	:
Telephone Number	:	903-787-7609

Provider Enumeration Date	:	02/21/2006
Last Update Date	:	03/24/2023

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Directions to “WELL-DONE HOME CARE, INC ” Practice Location

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