MEDICARE: WELLNESS AT HOME NURSING SOLUTIONS.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	251J00000X	Nursing Care Agency
2	253Z00000X	In Home Supportive Care Agency
3	253Z00000X	In Home Supportive Care Agency	PENDING	OH
4	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1770895948
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WELLNESS AT HOME NURSING SOLUTIONS.LLC

Provider Business Mailing Address
First Line	:	4576 MORSE CENTRE RD
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43229-6602
Country	:	US
Telephone Number	:	614-340-9531
Fax Number	:

Provider Business Practice Location Address
First Line	:	4576 MORSE CENTRE RD
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43229-6602
Country	:	US
Telephone Number	:	614-340-9531
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	MR. FAISAL I ADEN
Credential	:
Telephone Number	:	614-340-9531

Provider Enumeration Date	:	07/05/2010
Last Update Date	:	07/05/2010

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