MEDICARE: WELLNESS IN HOME CARE 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
1	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1982567988
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WELLNESS IN HOME CARE LLC

Provider Business Mailing Address
First Line	:	2614 STEWART VIEW TER
Second Line	:
City	:	VINTON
State	:	VA
Zip	:	24179-1265
Country	:	US
Telephone Number	:	470-269-0783
Fax Number	:	206-738-5113

Provider Business Practice Location Address
First Line	:	2614 STEWART VIEW TER
Second Line	:
City	:	VINTON
State	:	VA
Zip	:	24179-1265
Country	:	US
Telephone Number	:	470-269-0783
Fax Number	:	206-738-5113

Authorized Official
Title or Position	:	NON-MEDICAL PERSONAL CARE SERVICES
Name	:	NOORULHUDA A SABRI
Credential	:
Telephone Number	:	470-269-0783

Provider Enumeration Date	:	12/05/2025
Last Update Date	:	02/10/2026

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