Healthcare Provider Details

I. General information

NPI: 1518776566
Provider Name (Legal Business Name): THE WHEELER WAY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/04/2025
Last Update Date: 01/04/2025
Certification Date: 01/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

453 S SPRING ST STE 1387
LOS ANGELES CA
90013-2013
US

IV. Provider business mailing address

453 S SPRING ST STE 1387
LOS ANGELES CA
90013-2013
US

V. Phone/Fax

Practice location:
  • Phone: 888-482-6460
  • Fax:
Mailing address:
  • Phone: 888-482-6460
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MS. CHANTE WHEELER
Title or Position: COMMUNITY WORKER
Credential:
Phone: 888-482-6460