Healthcare Provider Details

I. General information

NPI: 1922547009
Provider Name (Legal Business Name): WELLS HEALTH CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/22/2017
Last Update Date: 07/17/2025
Certification Date: 07/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 PLEASANT STREET SUITE 205
WORCESTER MA
01609
US

IV. Provider business mailing address

435 SHREWSBURY ST STE 4
WORCESTER MA
01604-1691
US

V. Phone/Fax

Practice location:
  • Phone: 774-823-3884
  • Fax: 508-519-0292
Mailing address:
  • Phone: 508-556-1040
  • Fax: 508-519-0292

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number001260703
License Number StateMA

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

# 1
Identifier110122439C
Identifier TypeMEDICAID
Identifier StateMA
Identifier Issuer
# 2
Identifier110122439E
Identifier TypeMEDICAID
Identifier StateMA
Identifier Issuer
# 3
Identifier110122439D
Identifier TypeMEDICAID
Identifier StateMA
Identifier Issuer
# 4
Identifier110122439F
Identifier TypeMEDICAID
Identifier StateMA
Identifier Issuer

VIII. Authorized Official

Name: ANNA JANE ADJEI
Title or Position: CEO
Credential: RN
Phone: 978-235-8299