Wellcare Health Insurance of North Carolina, Inc

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

Legal business name

WELLCARE HEALTH INSURANCE OF NORTH CAROLINA, INC

Practice address

3128 Highwoods Blvd
Raleigh, NC 27604-0013

Phone

(833) 444-9088

NPI assigned

Sep 25, 2020

Organization subpart

No

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

Authorized official

Name

Kenneth Koshorek

Title

VP, Associate General Counsel

Phone

(313) 720-5567

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1600992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763078400000",
    "number": "1093322802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7700 FORSYTH BLVD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631051813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3128 HIGHWOODS BLVD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276040013",
            "telephone_number": "833-444-9088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLCARE HEALTH INSURANCE OF NORTH CAROLINA, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-25",
        "last_updated": "2025-11-14",
        "certification_date": "2025-11-14",
        "status": "A",
        "authorized_official_last_name": "KOSHOREK",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "VP, ASSOCIATE GENERAL COUNSEL",
        "authorized_official_telephone_number": "313-720-5567"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Health Maintenance Organization in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Health Maintenance Organization in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2025; 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.