Provider Demographics
NPI:1326850843
Name:WELLCARE HOME HEALTH, LLC.
Entity type:Organization
Organization Name:WELLCARE HOME HEALTH, LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER/CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:YAQUELIN
Authorized Official - Last Name:MERAYO CISNERO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-273-5173
Mailing Address - Street 1:2655 S LE JEUNE RD STE PH-2A7
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33134-5832
Mailing Address - Country:US
Mailing Address - Phone:786-273-5173
Mailing Address - Fax:
Practice Address - Street 1:2655 S LE JEUNE RD STE PH-2A7
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33134-5832
Practice Address - Country:US
Practice Address - Phone:786-273-5173
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-22
Last Update Date:2025-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health