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NPI Code Detail

MEDICARE: ALEXA WELLCARE LLC

MEDICARE: ALEXA WELLCARE LLC
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
1253Z00000XIn Home Supportive Care Agency8222844269CA

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 : 1568973741
Entity Type Code : Organization
Provider Name (Legal Business Name) : ALEXA WELLCARE LLC
Provider Business Mailing Address
First Line : 2029 CENTURY PARK E STE 400
Second Line :
City : LOS ANGELES
State : CA
Zip : 90067-2905
Country : US
Telephone Number : 310-990-7249
Fax Number :
Provider Business Practice Location Address
First Line : 2029 CENTURY PARK E STE 400
Second Line :
City : LOS ANGELES
State : CA
Zip : 90067-2905
Country : US
Telephone Number : 310-990-7249
Fax Number :
Authorized Official
Title or Position : OPERATION MANAGER
Name : MS. LUCAS L SILVA
Credential :
Telephone Number : 310-990-7249
Provider Enumeration Date : 10/16/2017
Last Update Date : 06/11/2019

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Directions to “ALEXA WELLCARE LLC ” Practice Location

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