Healthcare Provider Details

I. General information

NPI: 1770895948
Provider Name (Legal Business Name): WELLNESS AT HOME NURSING SOLUTIONS.LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/05/2010
Last Update Date: 07/05/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4576 MORSE CENTRE RD
COLUMBUS OH
43229-6602
US

IV. Provider business mailing address

4576 MORSE CENTRE RD
COLUMBUS OH
43229-6602
US

V. Phone/Fax

Practice location:
  • Phone: 614-340-9531
  • Fax:
Mailing address:
  • Phone: 614-340-9531
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License NumberPENDING
License Number StateOH
# 4
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MR. FAISAL I ADEN
Title or Position: CEO
Credential:
Phone: 614-340-9531