Healthcare Provider Details

I. General information

NPI: 1346173556
Provider Name (Legal Business Name): VELORA CARE SOLUTIONS LL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/06/2026
Last Update Date: 06/06/2026
Certification Date: 06/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

621 42ND ST E APT 535
WILLISTON ND
58801-6828
US

IV. Provider business mailing address

621 42ND ST E APT 535
WILLISTON ND
58801-6828
US

V. Phone/Fax

Practice location:
  • Phone: 786-606-4555
  • Fax: 786-606-4555
Mailing address:
  • Phone: 786-606-4555
  • Fax: 786-606-4555

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: GWENDOLYN MASHAIRE
Title or Position: CEO
Credential: CNA
Phone: 786-606-4555