Wellcare, Llc

LBN: Wellcare, Llc
Wellcare, Llc is an health care organization with primary practice located at 18275 N 59Th Ave Ste 138 , Glendale AZ 85308-1253. The organization recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Primary Care, which is considered as the primary health care specialty. Wellcare, Llc can be contacted via phone (602) 564-0078, or through Sebade, Derek via phone (602) 564-0078.

Contact Information

Primary practice address
18275 N 59Th Ave Ste 138 Glendale AZ 85308-1253
Phone: (602) 564-0078
Fax: (602) 564-1154
Website:
Map and Directions
Authorized official contact:
Name: Sebade, Derek ANP-C
Phone: (602) 564-0078

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X 082334 Arizona

Profile Details

NPI number 1366469140
LBN Legal business name Wellcare, Llc
DBA Doing business as
Authorized official Sebade, Derek ANP-C
Entity Organization
Organization subpart 1 No
Enumeration date Jul 16th, 2006
Last updated Aug 22nd, 2020 - about 5 years 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 1366469140 NPPES
Arizona MEDICAID 61944

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