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NPI Code Detail

MEDICARE: WELLS HEALTH CARE, INC.

MEDICARE: WELLS HEALTH CARE, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1314000000XSkilled Nursing Facility100679KY
2310400000XAssisted Living Facility20010304601KY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1417955709
Entity Type Code : Organization
Provider Name (Legal Business Name) : WELLS HEALTH CARE, INC.
Provider Business Mailing Address
First Line : 725 HARVARD DR
Second Line :
City : OWENSBORO
State : KY
Zip : 42301-6185
Country : US
Telephone Number : 270-926-9355
Fax Number : 270-684-6283
Provider Business Practice Location Address
First Line : 8005 US HIGHWAY 60 W
Second Line :
City : LEWISPORT
State : KY
Zip : 42351-7079
Country : US
Telephone Number : 270-295-6756
Fax Number : 270-295-6759
Authorized Official
Title or Position : CFO
Name : MR. TERRY LYNN SKAGGS
Credential :
Telephone Number : 270-926-9355
Provider Enumeration Date : 07/11/2005
Last Update Date : 09/11/2025

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