Organization Active NPI

Weevolve LLC

  • Meals Provider
  • Fort Mill, SC
National Provider Identifier
1104648005
Registry record updated Oct 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Meals ProviderTaxonomy code 174200000X
Legal business name
WEEVOLVE LLC
Practice address
855 Gold Hill Rd # 1010
Fort Mill, SC 29708-7977
Phone
(704) 584-9666
NPI assigned
Oct 30, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2024

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

Authorized official

Name
Jailah FaggartNPI 1962221051
Title
Owner
Phone
(704) 305-9703

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 5

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X
Meals Provider 174200000X Primary
Case Management Agency 251B00000X
Community/Behavioral Health Agency 251S00000X
Adult Day Care Clinic/Center 261QA0600X

Addresses

Primary practice location

855 Gold Hill Rd # 1010
Fort Mill, SC 29708-7977

Mailing address

855 Gold Hill Rd # 1010
Fort Mill, SC 29708-7977
Phone (704) 584-9666

National Provider Directory

National Provider Directory

Locations

855 Gold Hill Rd
#1010
Fort Mill, SC 29708
Phone (704) 584-9666

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": "1730246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730246400000",
    "number": "1104648005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "855 GOLD HILL RD # 1010",
            "city": "FORT MILL",
            "state": "SC",
            "postal_code": "297087977",
            "telephone_number": "704-584-9666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "855 GOLD HILL RD # 1010",
            "city": "FORT MILL",
            "state": "SC",
            "postal_code": "297087977",
            "telephone_number": "704-584-9666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEEVOLVE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-30",
        "last_updated": "2024-10-30",
        "certification_date": "2024-10-30",
        "status": "A",
        "authorized_official_last_name": "FAGGART",
        "authorized_official_first_name": "JAILAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-305-9703"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "174200000X",
            "taxonomy_group": "",
            "desc": "Meals",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Mill, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2024; 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.