Healthcare Provider Details

I. General information

NPI: 1730575622
Provider Name (Legal Business Name): NP WELLNESS HEALTHCARE SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/08/2015
Last Update Date: 04/08/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5761 SCHAEFER AVE
CHINO CA
91710-7004
US

IV. Provider business mailing address

2935 PARKSIDE AVE
ONTARIO CA
91761-6956
US

V. Phone/Fax

Practice location:
  • Phone: 909-472-6086
  • Fax:
Mailing address:
  • Phone: 909-472-6086
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: JENNIFER ONYEKONWU-MCGILLE
Title or Position: PRESIDENT
Credential:
Phone: 909-472-6086