Healthcare Provider Details
I. General information
NPI: 1154890069
Provider Name (Legal Business Name): WELLHEALTH,LLC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 11/20/2018
Last Update Date: 04/16/2026
Certification Date: 04/16/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1100 E BROADWAY STE 307
GLENDALE CA
91205-4646
US
IV. Provider business mailing address
1100 E BROADWAY STE 307
GLENDALE CA
91205-4646
US
V. Phone/Fax
- Phone: 818-308-3812
- Fax: 818-308-3813
- Phone: 818-308-3812
- Fax: 818-308-3813
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251E00000X |
| Taxonomy | Home Health Agency |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
ANI
KARAPETYAN
Title or Position: CEO
Credential:
Phone: 818-308-3812