Healthcare Provider Details

I. General information

NPI: 1154079796
Provider Name (Legal Business Name): WELKIN HEALTH CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/14/2022
Last Update Date: 03/14/2022
Certification Date: 02/27/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7190 W SUNSET BLVD
LOS ANGELES CA
90046-4415
US

IV. Provider business mailing address

105 S MEADOW RD
WEST COVINA CA
91791-2021
US

V. Phone/Fax

Practice location:
  • Phone: 323-312-3200
  • Fax:
Mailing address:
  • Phone: 626-646-3166
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name: MS. YOLANDA MARQUEZ
Title or Position: CHIEF EXECUTIVE OFFICER
Credential: NURSE
Phone: 323-312-3200