Healthcare Provider Details

I. General information

NPI: 1063132298
Provider Name (Legal Business Name): WELBE HEALTH HC NOCAL, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/29/2022
Last Update Date: 05/24/2024
Certification Date: 05/24/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2291 W MARCH LN STE E110
STOCKTON CA
95207-8133
US

IV. Provider business mailing address

2291 W MARCH LN STE E110
STOCKTON CA
95207-8133
US

V. Phone/Fax

Practice location:
  • Phone: 916-813-9202
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name: MATTHEW PATTERSON
Title or Position: PRESIDENT
Credential: MD
Phone: 619-961-5732