Healthcare Provider Details

I. General information

NPI: 1902719222
Provider Name (Legal Business Name): WELLCARE SOLUTIONS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/26/2026
Last Update Date: 09/26/2026
Certification Date: 09/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

680 PEACHTREE LN
KINGSTON TN
37763-2112
US

IV. Provider business mailing address

680 PEACHTREE LN
KINGSTON TN
37763-2112
US

V. Phone/Fax

Practice location:
  • Phone: 865-591-4906
  • Fax:
Mailing address:
  • Phone: 865-591-4906
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: TAYLOR N JONES
Title or Position: CO-OWNER
Credential: RN
Phone: 865-591-4906