NPIMap

Organization Active NPI

WP Wildcat, Inc.

  • In Home Supportive Care Agency
  • Berea, OH
National Provider Identifier
1083246458
Registry record updated Feb 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
WP WILDCAT, INC.
Doing business as
SouthWest Home Care Integrity
Practice address
278 Prospect St
Berea, OH 44017-2461
Phone
(440) 243-5057
Fax
(440) 201-6333
NPI assigned
Feb 4, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2020

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

Authorized official

Name
Mr. Philip Dewayne Burchett, BSN, MBA
Title
President, Chief Operating Officer
Phone
(440) 666-1864

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

278 Prospect St
Berea, OH 44017-2461

Mailing address

278 Prospect St
Berea, OH 44017-2461
Phone (440) 243-5057

Other names 1

  • SouthWest Home Care Integrity Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1580774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580774400000",
    "number": "1083246458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "278 PROSPECT ST",
            "city": "BEREA",
            "state": "OH",
            "postal_code": "440172461",
            "telephone_number": "440-243-5057",
            "fax_number": "440-201-6333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "278 PROSPECT ST",
            "city": "BEREA",
            "state": "OH",
            "postal_code": "440172461",
            "telephone_number": "440-243-5057",
            "fax_number": "440-201-6333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WP WILDCAT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-04",
        "last_updated": "2020-02-04",
        "certification_date": "2020-02-04",
        "status": "A",
        "authorized_official_last_name": "BURCHETT",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_middle_name": "DEWAYNE",
        "authorized_official_title_or_position": "PRESIDENT, CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "440-666-1864",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "BSN, MBA"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SouthWest Home Care Integrity",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Berea, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2020; 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.