Provider Demographics
NPI:1427817329
Name:THE WELLNESS HOME CARE GROUP, LLC
Entity type:Organization
Organization Name:THE WELLNESS HOME CARE GROUP, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:TONYA
Authorized Official - Middle Name:L
Authorized Official - Last Name:VENISEE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:470-489-5151
Mailing Address - Street 1:PO BOX 413
Mailing Address - Street 2:
Mailing Address - City:DULUTH
Mailing Address - State:GA
Mailing Address - Zip Code:30096-0007
Mailing Address - Country:US
Mailing Address - Phone:470-489-5151
Mailing Address - Fax:
Practice Address - Street 1:3480 PRESTON RIDGE RD
Practice Address - Street 2:SUITE 500 UNIT #81
Practice Address - City:ALPHARETTA
Practice Address - State:GA
Practice Address - Zip Code:30005
Practice Address - Country:US
Practice Address - Phone:470-532-1314
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-14
Last Update Date:2024-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No253Z00000XAgenciesIn Home Supportive Care