Wellbound Of Santa Rosa

LBN: Wellbound Of Santa Rosa Llc
Wellbound Of Santa Rosa is an health care organization with primary practice located at 2301 Circadian Way Suite B, Santa Rosa CA 95407-5416. The organization recently has only one registered license in Ambulatory Health Care Facilities / End-Stage Renal Disease (ESRD) Treatment, which is considered as the primary health care specialty. Wellbound Of Santa Rosa Llc can be contacted via phone (707) 541-3410, or through Weinberg, Thomas L via phone (214) 736-2700.

Contact Information

Primary practice address
2301 Circadian Way Suite B Santa Rosa CA 95407-5416
Phone: (707) 541-3410
Fax: (707) 541-3415
Website:
Map and Directions
Authorized official contact:
Name: Weinberg, Thomas L
Phone: (214) 736-2700

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / End-Stage Renal Disease (ESRD) Treatment 261QE0700X

Profile Details

NPI number 1326093626
LBN Legal business name Wellbound Of Santa Rosa Llc
DBA Doing business as Wellbound Of Santa Rosa
Authorized official Weinberg, Thomas L
Entity Organization
Organization subpart 1 Yes
Enumeration date May 24th, 2006
Last updated May 15th, 2024 - about 6 months ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1326093626 NPPES
California MEDICAID CDC52550F

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