Healthcare Provider Details

I. General information

NPI: 1427850494
Provider Name (Legal Business Name): WELLNESS HEALTH CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/27/2025
Last Update Date: 09/28/2026
Certification Date: 09/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1401 ULSTER ST
DENVER CO
80220-3344
US

IV. Provider business mailing address

1401 ULSTER ST
DENVER CO
80220-3344
US

V. Phone/Fax

Practice location:
  • Phone: 720-552-1710
  • Fax:
Mailing address:
  • Phone: 720-552-1710
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code320900000X
TaxonomyIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
License Number
License Number StateNULL

VIII. Authorized Official

Name: YODIT DENEKEW
Title or Position: DIRECTOR/OWNER
Credential:
Phone: 720-552-1710