Organization Active NPI

Wellcare Health Insurance Company of Kentucky, Inc.

  • Health Maintenance Organization
  • Louisville, KY
National Provider Identifier
1013295112
Registry record updated May 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
Legal business name
WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC.
Practice address
13551 Triton Park Blvd
Suite 1800
Louisville, KY 40223
Phone
(502) 253-5100
NPI assigned
Jul 25, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Michael Haber
Title
VP & Secretary
Phone
(813) 206-1490

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X Primary

Addresses

Primary practice location

13551 Triton Park Blvd
Suite 1800
Louisville, KY 40223

Mailing address

8735 Henderson Rd
Tampa, FL 33634-1143

Other names 1

  • WellCare Health Insurance of Illinois, Inc. Former legal business name

National Provider Directory

National Provider Directory

Locations

13551 Triton Park Blvd
Ste 1800
Louisville, KY 40223
Phone (502) 253-5100

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1311552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462406400000",
    "number": "1013295112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8735 HENDERSON RD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336341143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13551 TRITON PARK BLVD",
            "address_2": "SUITE 1800",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "40223",
            "telephone_number": "502-253-5100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-25",
        "last_updated": "2016-05-05",
        "status": "A",
        "authorized_official_last_name": "HABER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "VP & SECRETARY",
        "authorized_official_telephone_number": "813-206-1490"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WellCare Health Insurance of Illinois, Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.