# SENIOR WELLNESS HOMECARE LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Senior Wellness Homecare
- **Organization subpart:** No

## Provider details

- **NPI number:** 1396503801
- **Authorized official:** MS. KATRINA MAYE EUGENIO DIVIDINA RN (OWNER)
- **Authorized official phone:** (928) 255-3684

## Contact information

- **Practice address:** 1005 21ST ST SE UNIT B1, RIO RANCHO, NM 87124-4030
- **Practice address phone:** (505) 359-3586
- **Mailing address:** 1380 RIO RANCHO BLVD SE STE 485, RIO RANCHO, NM 87124-1006
- **Mailing address phone:** (928) 255-3684

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | — | Yes |

## Other

- **Enumeration date:** 03/08/2024
- **Last updated:** 03/08/2024