GREEN WELLS EECP – NPI #1013246222
Residential Treatment Facility, Physical Disabilities

A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with physical disabilities and are not able to live independently.

GREEN WELLS EECP is a residential treatment facility (RTF) located in PARAMOUNT, CA. NPPES has assigned the NPI number 1013246222 to GREEN WELLS EECP on December 17, 2009. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “GREEN WELLS EECP” is a dba name, the actual legal business name for this organization is GREEN WELLS EECP PHYSICAL THERAPY. The primary taxonomy selected by this provider is 320700000X from the Health Care Provider Taxonomy code set, which is classified as Residential Treatment Facility, Physical Disabilities.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for GREEN WELLS EECP below.

NPI Profile for
GREEN WELLS EECP PHYSICAL THERAPY

NPI Number
1013246222
Enumeration Date

(more than 16 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
GREEN WELLS EECP PHYSICAL THERAPY
Doing Business As (dba): GREEN WELLS EECP
Primary location
8602 ELBURG STREET APT C
PARAMOUNT, CA 90723
Phone: (310) 405-1478 Fax:
Mailing address
8602 ELBURG ST UNIT C
7136 PACIFIC BLVD SUITE 220
PARAMOUNT, CA 90723-8632
Phone: (323) 588-5467 Fax: (323) 589-6662
Organization Subpart
No
Authorized Official
JARED WELLS
OWNER/CHIEF TECHICIAN
Phone: (310) 405-1478
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
320700000X
- Residential Treatment Facility, Physical Disabilities (Primary)
CA

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.