WELLAVE, LLC


Address: 411 Aviation Way Ste 245, Frederick, MD 21701
Phone: 8888203376

WELLAVE, LLC (NPI# 1891159661) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1891159661
Entity Type Organization
Organization Name WELLAVE, LLC
Practice Address 411 Aviation Way Ste 245
Frederick
MD 21701
Mailing Address 411 Aviation Way Ste 245
Frederick
MD 21701-3125
Practice Telephone 8888203376
Practice Fax Number 8888264576
Mailing Telephone 8888203376
Enumeration Date 2016-04-07
Last Update Date 2018-08-07
Authorized Official Name MS. EILEEN DOANE (PRESIDENT)
Authorized Official Telephone 2409940867
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM2500X Clinic/Center
Specialization: Medical Specialty
Ambulatory Health Care Facilities

Provider Secondary Practice Location

Address Telephone Number Fax Number
155 Gibbs St, Unit 419, Rockville, MD 208500353 3014248620

Office Location

Street Address 411 AVIATION WAY STE 245
City FREDERICK
State MD
Zip Code 21701

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Taxonomy Information

Taxonomy Code 261QM2500X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Medical Specialty

Taxonomy Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
Notes: [7/1/2003: new]

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NPI Name Taxonomy Address Enumeration
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1033305263 Frederick Kidney Care Associates LLC. Clinic/Center 5205 Chairmans Ct, Suite 100, Frederick, MD 21703-2915 2007-09-21

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1437651742 Total You Integrative Healthcare Inc Clinic/Center 9135 Piscataway Rd Ste 410, Clinton, MD 20735 2018-03-02
1063958213 Medsultants Clinic/Center 10317 Kingsway Ct, Ellicott City, MD 21042-5802 2017-01-12
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Competitor

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City FREDERICK
Zip Code 21701

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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