WELLBE SENIOR MEDICAL OHIO LLC - NPI 1497308456 - Internal Medicine in Independence, OH

Q: What is the provider's specialty?

The provider's specialty is Internal Medicine with taxonomy code 207RG0300X and a focus in Geriatric Medicine.

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About Wellbe Senior Medical Ohio Llc NPPES

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

WELLBE SENIOR MEDICAL OHIO LLC (NPI 1497308456), doing business as Wellbe Senior Medical Ohio, Inc, is a healthcare organization registered as a geriatric medicine in Independence, Ohio and active in the NPI registry since July 2019. The organization holds a CLIA Waiver certificate valid through April 13, 2027 and lists Iyad Houshan, Chief Medical Officer, as its authorized official.

NPPES Registry Identity

NPI1497308456

Entity TypeOrganization

Primary Taxonomy207RG0300X

Legal Business NameWELLBE SENIOR MEDICAL OHIO LLC

Location Address6480 ROCKSIDE WOODS BLVD S STE 330Independence, OH 44131-2222

Mailing Address225 W Washington St Ste 1700Chicago, IL 60606-3404 · (312) 776-2422

Phone(312) 776-2410

Organization SubpartNo

Authorized OfficialIyad HoushanChief Medical Officer · (702) 236-2929

Enumeration DateJuly 18, 2019

Last NPPES UpdateSeptember 26, 20245 updates tracked since enumeration

NPPES CertifiedSeptember 26, 2024

✔ NPI 1497308456 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207RG0300X

Definition

An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.

Also ListedFamily MedicineTaxonomy 207Q00000X

Also ListedInternal MedicineTaxonomy 207R00000X

6480 ROCKSIDE WOODS BLVD S STE 330, Independence, OH 44131

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Other Names 1

Former Legal Business NameWellbe Senior Medical Ohio, Inc

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 36D2321998

Wellbe Senior Medical Ohio LLC · Independence, OH

Active · expires Apr 13, 2027

CLIA Number36D2321998

Laboratory TypeHome Health Agency

Certificate Effective DateApril 14, 2025

Certificate Expiration DateApril 13, 2027

Laboratory DirectorKatrina G. Booth

Laboratory Phone(312) 463-4903

Laboratory LocationWellbe Senior Medical Ohio LLC6480 Rockside Woods Blvd South, Independence, OH 44131

CLIA data matches this NPI record on: Address Name

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LABERTA DAWN ARNOLD MSN, AGPCNP-BC

Nurse Practitioner (Primary Care)