Healthcare Provider Details

I. General information

NPI: 1992635957
Provider Name (Legal Business Name): WELLNESS WARRIORS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/21/2026
Last Update Date: 05/21/2026
Certification Date: 05/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1020 MERRILL ST UNIT 1003
SALINAS CA
93901-4495
US

IV. Provider business mailing address

3290 E HILLS DR
SAN JOSE CA
95127-2929
US

V. Phone/Fax

Practice location:
  • Phone: 408-477-0978
  • Fax:
Mailing address:
  • Phone:
  • 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: NINO DOMALANTA
Title or Position: CEO/ ADMINISTRATOR
Credential:
Phone: 408-477-0978