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Contact Information

WELLCARE, INC.
400 N PENNSYLVANIA AVE STE 1250
ROSWELL, NM88201-4791
 Phone: 507-622-9355
 Fax: 507-633-9370
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Home Health

251E00000X A4[11] Home Health Agency
Indicates primary specialty

NPI Profile & details for WELLCARE, INC.

NPI Number 1639367998
LBN Legal business name WELLCARE, INC.
Authorized official JULIE JOLLEY - (EVP OF HOME HEALTH OPERATIONS)
Entity Organization
Organization subpart 1 Yes
Enumeration date 10/11/2007
Last updated 01/02/2025 - More than a year ago
Identifiers
NM License # 3249
NM Medicaid 94701369
NM Other 1811098478 NPI NUMBER
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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