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Contact Information

WELLCARE, INC.
1096 MECHEM DRIVE, SUITE 302A
RUIDOSO, NM88345-7057
 Phone: 575-258-0028
 Fax: 575-258-2648
 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 1942541040
LBN Legal business name WELLCARE, INC.
Authorized official JULIE JOLLEY - (EVP OF HOME HEALTH OPERATIONS)
Entity Organization
Organization subpart 1 Yes
Enumeration date 03/14/2013
Last updated 01/02/2025 - More than a year ago
Identifiers
NM Medicaid A5162
NM Other 32D0980482 CLIA
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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