Healthcare Provider Details

I. General information

NPI: 1407464720
Provider Name (Legal Business Name): WELLNESS HOME CARE SERVICE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/22/2020
Last Update Date: 07/22/2020
Certification Date: 07/22/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7849 ADARE CT
DUBLIN OH
43016-7428
US

IV. Provider business mailing address

7849 ADARE CT
DUBLIN OH
43016-7428
US

V. Phone/Fax

Practice location:
  • Phone: 614-822-0966
  • Fax:
Mailing address:
  • Phone: 614-822-0966
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number State

VIII. Authorized Official

Name: MR. AMER DAHCHE
Title or Position: CEO
Credential:
Phone: 614-822-0966