Healthcare Provider Details

I. General information

NPI: 1902729148
Provider Name (Legal Business Name): WELLTRUST HEALTH GROUP LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/03/2026
Last Update Date: 08/03/2026
Certification Date: 08/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1314 SW 6TH TER
CAPE CORAL FL
33991-2153
US

IV. Provider business mailing address

1314 SW 6TH TER
CAPE CORAL FL
33991-2153
US

V. Phone/Fax

Practice location:
  • Phone: 239-443-8331
  • Fax:
Mailing address:
  • Phone: 239-443-8331
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: YENISSET VALENTIN
Title or Position: PRESIDENT
Credential:
Phone: 239-443-8331