Healthcare Provider Details

I. General information

NPI: 1881517837
Provider Name (Legal Business Name): WELLS PREMIUM HEALTHCARE SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/04/2026
Last Update Date: 09/23/2026
Certification Date: 09/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

611 FALLOWFIELD AVE
CHARLEROI PA
15022-1904
US

IV. Provider business mailing address

611 FALLOWFIELD AVE
CHARLEROI PA
15022-1904
US

V. Phone/Fax

Practice location:
  • Phone: 484-224-5647
  • Fax:
Mailing address:
  • Phone: 484-224-5647
  • 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 Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State

VIII. Authorized Official

Name: WELLINGTON RAILEY
Title or Position: FOUNDER
Credential:
Phone: 484-224-5647