Provider Demographics
NPI:1508745373
Name:WELLNESS ON WHEELS LLC
Entity type:Organization
Organization Name:WELLNESS ON WHEELS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:KATHERINE
Authorized Official - Middle Name:
Authorized Official - Last Name:KLEINSTEUBER
Authorized Official - Suffix:
Authorized Official - Credentials:DNP
Authorized Official - Phone:505-419-2971
Mailing Address - Street 1:15 AVENIDA DE VISTA RD
Mailing Address - Street 2:
Mailing Address - City:ROSWELL
Mailing Address - State:NM
Mailing Address - Zip Code:88201-8873
Mailing Address - Country:US
Mailing Address - Phone:505-419-2971
Mailing Address - Fax:
Practice Address - Street 1:15 AVENIDA DE VISTA RD
Practice Address - Street 2:
Practice Address - City:ROSWELL
Practice Address - State:NM
Practice Address - Zip Code:88201-8873
Practice Address - Country:US
Practice Address - Phone:505-419-2971
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-27
Last Update Date:2025-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health