Provider Demographics
NPI:1689417438
Name:CONTINUED WELLNESS HOME CARE
Entity type:Organization
Organization Name:CONTINUED WELLNESS HOME CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ROBEN
Authorized Official - Middle Name:
Authorized Official - Last Name:EDWARDS
Authorized Official - Suffix:
Authorized Official - Credentials:STNA/ BUSINESS ADMIN
Authorized Official - Phone:216-400-2400
Mailing Address - Street 1:1970 W 32ND ST APT 12
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44113-3443
Mailing Address - Country:US
Mailing Address - Phone:216-400-2400
Mailing Address - Fax:
Practice Address - Street 1:1970 W 32ND ST APT 12
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44113-3443
Practice Address - Country:US
Practice Address - Phone:216-400-2400
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-18
Last Update Date:2024-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes376K00000XNursing Service Related ProvidersNurse's AideGroup - Multi-Specialty
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)