Provider Demographics
NPI:1922816842
Name:WELCOME HOME CLINICAL SERVICES LLC
Entity type:Organization
Organization Name:WELCOME HOME CLINICAL SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:B
Authorized Official - Last Name:ECKSTEIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:540-529-7300
Mailing Address - Street 1:7974 SAILBOAT KEY BLVD S # UNITY203
Mailing Address - Street 2:
Mailing Address - City:SOUTH PASADENA
Mailing Address - State:FL
Mailing Address - Zip Code:33707-6371
Mailing Address - Country:US
Mailing Address - Phone:540-529-7300
Mailing Address - Fax:340-719-7284
Practice Address - Street 1:2024 MOUNT WELCOME STE 10
Practice Address - Street 2:
Practice Address - City:CHRISTIANSTED
Practice Address - State:VI
Practice Address - Zip Code:00820-3610
Practice Address - Country:US
Practice Address - Phone:540-529-7300
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-23
Last Update Date:2024-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty