Healthcare Provider Details

I. General information

NPI: 1922816842
Provider Name (Legal Business Name): WELCOME HOME CLINICAL SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/23/2024
Last Update Date: 08/15/2025
Certification Date: 08/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2024 MOUNT WELCOME STE 10
CHRISTIANSTED VI
00820-3610
US

IV. Provider business mailing address

7974 SAILBOAT KEY BLVD S # UNITY203
SOUTH PASADENA FL
33707-6371
US

V. Phone/Fax

Practice location:
  • Phone: 540-529-7300
  • Fax:
Mailing address:
  • Phone: 540-529-7300
  • Fax: 340-719-7284

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3336C0002X
TaxonomyClinic Pharmacy
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: STEPHEN B ECKSTEIN
Title or Position: CEO
Credential:
Phone: 540-529-7300