=====================================================
General NPI Number Information
=====================================================
NPI Number | 1396443149
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | WELL DONE HOME HEALTH AGENCY LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 02/21/2023
-----------------------------------------------------
Last Update Date | 03/06/2023
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 2513 LARKSPUR LN
-----------------------------------------------------
City | ROWLETT
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 75089-6734
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 214-428-9730
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 3416 ENTERPRISE DR UNIT 536
-----------------------------------------------------
City | ROWLETT
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 75030-0319
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 469-630-5550
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | ADMINISTRATOR
-----------------------------------------------------
Name | ZARINDA WILLIAMS
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 469-630-5550
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251E00000X
-----------------------------------------------------
Taxonomy Name | Home Health Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------