National Provider Identifier Database

WELLCARE SPECIALIST HOSPICE INCORPORATED
Hospice Care, Community Based


Contact Information

WELLCARE SPECIALIST HOSPICE INCORPORATED
12630 BROOKHURST ST
SUITE F
GARDEN GROVE, CA92840
Phone: 714-462-6205
Fax: 714-462-6255
Website:
Specialty Taxonomy Code
* Hospice Care, Community Based 251G00000X

* Indicates primary specialty

NPI Profile & details for WELLCARE SPECIALIST HOSPICE INCORPORATED

NPI Number 1609234400
Legal business name
LBN
WELLCARE SPECIALIST HOSPICE INCORPORATED
Authorized official ROSEMARY TESORO - (ADMINISTRATOR)
Entity Organization
Organization subpart No
Enumeration date 02/08/2016
Last updated 06/01/2023 - About 3 years ago
Sole proprietor1 Not specified
Identifiers
  • CA Medicaid: 1609234400

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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