Provider Demographics
NPI:1104955525
Name:WELLNESS HOME HEALTH CARE, INC.
Entity type:Organization
Organization Name:WELLNESS HOME HEALTH CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:MS
Authorized Official - First Name:AYAN
Authorized Official - Middle Name:
Authorized Official - Last Name:AHMED
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-885-1385
Mailing Address - Street 1:1685 KARL CT
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43229-3657
Mailing Address - Country:US
Mailing Address - Phone:614-885-1385
Mailing Address - Fax:
Practice Address - Street 1:1685 KARL CT
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43229-3657
Practice Address - Country:US
Practice Address - Phone:614-885-1385
Practice Address - Fax:614-388-5547
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHMEDICAIDMedicare ID - Type UnspecifiedHOME HEALTH CARE