Organization Active NPI

Well Fair Care International

  • Community/Behavioral Health Agency
  • Phoenix, AZ
National Provider Identifier
1053905919
Registry record updated Dec 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
WELL FAIR CARE INTERNATIONAL
Practice address
1095 E Indian School Rd Ste 700
Phoenix, AZ 85014-4846
Phone
(602) 515-9893
Fax
(623) 230-3726
NPI assigned
Feb 22, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2025

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

Authorized official

Name
Josiah Nnadozie Nwaokwa, NURSE PRACTITIONERNPI 1053854638
Title
Ceo
Phone
(347) 848-2576

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

1095 E Indian School Rd Ste 700
Phoenix, AZ 85014-4846

Mailing address

1095 E Indian School Rd Ste 700
Phoenix, AZ 85014-4846
Phone (623) 230-3127

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210712003628 AZ Part B Supplier - Clinic/Group Practice 4385046465 Receives reassigned benefits from 1 practitioner
Practice locations: Phoenix, AZ

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
03D2228194Well Fair Care International1095 E Indian School Rd Ste 700, Phoenix, AZ 85014Certificate of waiverJun 22, 2027

National Provider Directory

National Provider Directory

Locations

1095 E Indian School Rd
Ste 700
Phoenix, AZ 85014
Phone (602) 515-9893

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1613952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765756800000",
    "number": "1053905919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1095 E INDIAN SCHOOL RD STE 700",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850144846",
            "telephone_number": "623-230-3127",
            "fax_number": "623-231-5767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1095 E INDIAN SCHOOL RD STE 700",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850144846",
            "telephone_number": "602-515-9893",
            "fax_number": "623-230-3726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELL FAIR CARE INTERNATIONAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-22",
        "last_updated": "2025-12-15",
        "certification_date": "2025-12-15",
        "status": "A",
        "authorized_official_last_name": "NWAOKWA",
        "authorized_official_first_name": "JOSIAH",
        "authorized_official_middle_name": "NNADOZIE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "347-848-2576",
        "authorized_official_credential": "NURSE PRACTITIONER"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.