1. Home
  2. Directory
  3. Florida
  4. Pembroke Pines
  5. Nutritionist
  6. NPI Profile

WELLNESS 4 LIFE INC
NPI 1033357009
Nutritionist in Pembroke Pines, FL

Active since January 29, 2009
9680 PINES BLVD, N/A, PEMBROKE PINES, FL 33024(954) 367-6192(954) 342-9624 Get Directions Write a Review

NPPES record last updated: October 20, 2016. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Wellness 4 Life Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WELLNESS 4 LIFE INC (NPI 1033357009) is a healthcare organization registered as a nutritionist in Pembroke Pines, Florida and active in the NPI registry since January 2009. The organization lists Elaine Roach, President/ceo, as its authorized official.

NPPES Registry Identity

NPI1033357009
Entity TypeOrganization
Primary Taxonomy133N00000X
Legal Business NameWELLNESS 4 LIFE INC
Location Address9680 PINES BLVD, N/APembroke Pines, FL 33024-6246
Mailing AddressPo Box 170084Hialeah, FL 33017-0084 · (954) 367-6192 · Fax (954) 342-9624
Phone(954) 367-6192
Fax(954) 342-9624
Organization SubpartNo
Authorized OfficialElaine RoachPresident/ceo · (954) 367-6192
Enumeration DateJanuary 29, 2009
Last NPPES UpdateOctober 20, 2016
✔ NPI 1033357009 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNutritionistDietary & Nutritional Service Providers
Taxonomy Code133N00000X
License✔ Licensed in FL · ND4061
Definition
A specialist in adapting and applying food and nutrient knowledge to the solution of food and nutritional problems, the control of disease, and the promotion of health. Nutritionists perform research, instruct groups and individuals about nutritional requirements, and assist people in developing meal patterns that meet their nutritional needs; (2) A nutritionist is someone who has completed undergraduate and/or graduate training in the discipline of nutrition without necessarily meeting the academic and experience requirements to qualify for the Registered Dietitian designation.
9680 PINES BLVD, Pembroke Pines, FL 33024
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Wellness 4 Life Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by January 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateFloridaEnrollment IDO20090323000104Non-DME Part B · Clinic/Group PracticeDue dateJanuary 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Wellness 4 Life Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Elaine Roach, LD/N MPH
Registered Dietitian or Nutrition Professional
NPI 1255572889
9680 PINES BLVD
Pembroke Pines, FL 33024
(954) 367-6192
Same address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Wellness 4 Life Inc's NPI number?

The NPI number for Wellness 4 Life Inc is 1033357009. It was assigned to this organization in the NPPES registry on January 29, 2009.

Where is Wellness 4 Life Inc located?

Wellness 4 Life Inc is located at 9680 Pines Blvd N/A, Pembroke Pines, FL 33024. The listed phone number is (954) 367-6192.

What is Wellness 4 Life Inc's specialty?

The primary specialty registered for this NPI is Nutritionist with taxonomy code 133N00000X.

Is Wellness 4 Life Inc enrolled in Medicare?

Yes. Wellness 4 Life Inc is registered in the Medicare PECOS enrollment system.

When is Wellness 4 Life Inc's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Florida, Clinic/Group Practice) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Wellness 4 Life Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Registered Dietitian or Nutrition Professional) reassigns their Medicare billing to Wellness 4 Life Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Wellness 4 Life Inc was last updated on October 20, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.