Healthcare Provider Details

I. General information

NPI: 1942157425
Provider Name (Legal Business Name): PRW CONSULTING, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/12/2026
Last Update Date: 03/12/2026
Certification Date: 03/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17 BLUEWING LN
LADERA RANCH CA
92694-0894
US

IV. Provider business mailing address

17 BLUEWING LN
LADERA RANCH CA
92694-0894
US

V. Phone/Fax

Practice location:
  • Phone: 949-264-3447
  • Fax:
Mailing address:
  • Phone: 949-264-3447
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number StateNULL
# 3
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number StateNULL
# 4
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name: PARKER WELLS
Title or Position: PRESIDENT
Credential:
Phone: 949-878-0878