Provider Demographics
NPI:1558254821
Name:WELLATHOME
Entity type:Organization
Organization Name:WELLATHOME
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REGISTERED NURSE
Authorized Official - Prefix:
Authorized Official - First Name:SINIKIWE
Authorized Official - Middle Name:
Authorized Official - Last Name:MULAMBA
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:870-206-1122
Mailing Address - Street 1:3978 IDLEBROOK DR
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75034-8384
Mailing Address - Country:US
Mailing Address - Phone:870-206-1122
Mailing Address - Fax:
Practice Address - Street 1:3978 IDLEBROOK DR
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75034-8384
Practice Address - Country:US
Practice Address - Phone:870-206-1122
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-03
Last Update Date:2025-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health