WELLNESS WARE INC (NPI# 1952819591) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952819591 |
| Entity Type | Organization |
| Organization Name | WELLNESS WARE INC |
| Other Organization Name | PEGGY L. MEDINA DBA WELLNESS WARE |
| Practice Address |
1547 Ne F St Grants Pass OR 97526-4234 |
| Practice Telephone | 5419567647 |
| Practice Fax Number | 5419568739 |
| Mailing Telephone | 5419567647 |
| Mailing Fax Number | 5419568739 |
| Enumeration Date | 2018-01-17 |
| Last Update Date | 2018-01-17 |
| Authorized Official Name | PEGGY LEE MEDINA (OWNER) |
| Authorized Official Telephone | 5419567647 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 247509 | 05 | |
| OR | REGENCE BCBS OREGON | 820461000 | 01 |
| OR | PACIFIC SOURCE | JE-400-01 | 01 |
| Other Name | Type Code |
|---|---|
| Peggy L. Medina dba Wellness Ware | Former Legal Business Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | WELLNESS WARE INC | 1547 Ne F Street, Grants Pass, OR 97526 |
| Street Address |
1547 NE F ST |
| City | GRANTS PASS |
| State | OR |
| Zip Code | 97526-4234 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205476777 | Kyla M Mccormick | Peer Specialist | 109 Nw Manzanita Avenue, Grants Pass, OR 97526 | 2020-01-13 |
| 1164076469 | Alicia Yvonne Hansen | Counselor | 1055 Clarey St., Grants Pass, OR 97526 | 2019-07-25 |
| 1841842598 | Michael Liam Reynolds, Dds, LLC | Dentist | 984 Ne 8th Street, Grants Pass Oregon, Grants Pass, OR 97526 | 2019-07-12 |
| 1881254746 | Brandi Mccrorey | Counselor | 418 Ne 6th Street, Suite 102, Grants Pass, OR 97526 | 2019-06-13 |
| 1700364502 | Premier Community Supports, LLC. | Day Training, Developmentally Disabled Services | 1439 Ne 6th St Ste C, Grants Pass, OR 97526 | 2018-08-02 |
| 1821584509 | Stefani Mcintyre | Massage Therapist | 1590 Se N Street, Warehouse #1574, Grants Pass, OR 97526 | 2018-07-06 |
| 1114467438 | Sandra P Martin | Chiropractor | 333 Sw 5th St. Suite B, Grants Pass, OR 97526 | 2017-03-06 |
| 1801347612 | Maci Wageman | Counselor | 1215 Sw G St Grants Pass Oregon 97526, Grants Pass, OR 97526 | 2016-10-17 |
| 1902353907 | Optimal Health of Southern Oregon, LLC | Family Medicine | 1600 Nw 6th St South Suite, Grants Pass, OR 97526 | 2016-09-07 |
| 1982150793 | Tanya White | Counselor | 402 Nw Fstreet, Grants Pass, OR 97526 | 2016-08-31 |
| Find all providers in zip 97526 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922597442 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 1545 Harbeck Rd Ste P1, Grants Pass, OR 97527-5605 | 2018-05-10 |
| 1053755520 | Adaptive Technology Providers Inc | Durable Medical Equipment & Medical Supplies | 2011 Se Portola Dr, Grants Pass, OR 97526-3941 | 2013-04-26 |
| 1366691875 | Advanced Cpap Supplies Inc. | Durable Medical Equipment & Medical Supplies | 3388b Merlin Rd, Number 304, Grants Pass, OR 97526-8421 | 2008-09-09 |
| 1184700635 | Lincare Inc. | Durable Medical Equipment & Medical Supplies | 1610 Ne 7th St, Grants Pass, OR 97526-1318 | 2006-10-27 |
| 1295844587 | Thrifty Payless Inc | Durable Medical Equipment & Medical Supplies | 1642 Williams Highway, Williams Highway Plaza, Grants Pass, OR 97527-5660 | 2006-08-30 |
| 1306955695 | Thrifty Payless Inc | Durable Medical Equipment & Medical Supplies | 915 Northeast D Street, Grants Pass Shopping Center, Grants Pass, OR 97526-2399 | 2006-08-30 |
| 1194758458 | Bimart Corporation | Durable Medical Equipment & Medical Supplies | 230 Redwood Hwy, Grants Pass, OR 97527-5404 | 2006-07-09 |
| 1801825831 | Safeway Inc | Durable Medical Equipment & Medical Supplies | 115 Se 7th St, Grants Pass, OR 97526-3051 | 2006-07-02 |
| 1841236486 | Fred Meyer Stores Inc | Durable Medical Equipment & Medical Supplies | 1101 Grants Pass Pkwy, Grants Pass, OR 97526-2333 | 2006-06-21 |
| 1942859749 | Southern Oregon Orthopedics Inc | Durable Medical Equipment & Medical Supplies | 702 Sw Ramsey Ave Ste 112, Grants Pass, OR 97527-5859 | 2019-09-05 |
| Find all providers in GRANTS PASS | ||||
| City | GRANTS PASS |
| Zip Code | 97526 |
Please comment or provide details below to improve the information on WELLNESS WARE INC.
| 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.