MEDICARE: WELLNESS WAY 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
1	251E00000X	Home Health Agency	0404MV	CO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	6553X	OTHER	CO	PACIFICARE
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	00754WE	OTHER	CO	BCBS

General Provider Information

NPI Number	:	1427053230
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WELLNESS WAY INC

Provider Business Mailing Address
First Line	:	1385 S COLORADO BLVD
Second Line	:	STE 306
City	:	DENVER
State	:	CO
Zip	:	80222-3304
Country	:	US
Telephone Number	:	303-722-2208
Fax Number	:	303-722-4411

Provider Business Practice Location Address
First Line	:	1385 S COLORADO BLVD STE 306
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80222-3365
Country	:	US
Telephone Number	:	303-722-2208
Fax Number	:	303-722-4411

Authorized Official
Title or Position	:	GEN MGR
Name	:	MR. CHRISTOPHER M MAESTAS
Credential	:
Telephone Number	:	303-722-2208

Provider Enumeration Date	:	06/17/2005
Last Update Date	:	07/12/2021

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Directions to “WELLNESS WAY INC ” Practice Location

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