Organization Active NPI

Wescare Professional Services, LLC.

  • Developmentally Disabled Services Day Training Agency
  • Greensboro, NC
National Provider Identifier
1104986132
Registry record updated Jan 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
License
MHL-041-941 Issued in NC
Legal business name
WESCARE PROFESSIONAL SERVICES, LLC.
Practice address
10 Oak Branch Dr Ste a
Greensboro, NC 27407
Phone
(336) 272-8335
Fax
(336) 272-8339
NPI assigned
Dec 11, 2006
Last updated
Jan 19, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2022

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

Authorized official

Name
Eric Michael Page
Title
Operations Manager
Phone
(336) 272-8335

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X MHL-041-941 NC Primary
Mental Illness Community Based Residential Treatment Facility 320800000X NU
Respite Care 385H00000X NU
In Home Supportive Care Agency 253Z00000X NU
Community/Behavioral Health Agency 251S00000X NU

Addresses

Primary practice location

10 Oak Branch Dr Ste a
Greensboro, NC 27407

Mailing address

10 Oak Branch Dr Ste a
Greensboro, NC 27407-2995
Phone (336) 272-8335

Other practice location 1

166 Marajo Ct
Winston Salem, NC 27127-9117
Phone (336) 272-8335 ext. 107

Other practice location 2

3603 Dartford Dr
Greensboro, NC 27407-7551
Phone (336) 272-8335 ext. 107

Other practice location 3

221 Bedford Dr
Eden, NC 27288-2205
Phone (336) 272-8335 ext. 107

Other practice location 4

824 Blazingwood Dr
Greensboro, NC 27406-8227
Phone (336) 272-8335 ext. 107

Other practice location 5

2204 Oakmont Ct
Greensboro, NC 27407-6076
Phone (336) 272-8335 ext. 107

Other practice location 6

1407 E Meadow Rd
Eden, NC 27288-3937
Phone (336) 272-8335 ext. 107

Other practice location 7

236 McTavish Ln
Winston Salem, NC 27103-5989
Phone (336) 272-8335 ext. 107

Other practice location 8

6136 Ashbrook Cir
Archdale, NC 27263-3840
Phone (336) 272-8335 ext. 107

Other practice location 9

223 W Brower Ave
Liberty, NC 27298-3122
Phone (336) 272-8335 ext. 107

Other practice location 10

509 Fernway Dr
Burlington, NC 27217-8850
Phone (336) 272-8335 ext. 107

Other practice location 11

9824 Nc Highway 87
Reidsville, NC 27320-7372
Phone (336) 272-8335 ext. 107

Other practice location 12

5709 Cranberry Ct
Greensboro, NC 27405-9511
Phone (336) 272-8335 ext. 107

Other practice location 13

1009A E Webb Ave
Burlington, NC 27217-6657
Phone (336) 272-8335 ext. 107

Other practice location 14

1716 Hawkcrest Ln
Winston Salem, NC 27127-4869
Phone (336) 272-8335 ext. 107

Other practice location 15

1309 Gorrell St
Greensboro, NC 27401-3507
Phone (336) 272-8335 ext. 107

Other practice location 16

4545 Jessup Grove Rd
Greensboro, NC 27410-9407
Phone (336) 272-8335 ext. 107

Other practice location 17

300 Bingham St
Greensboro, NC 27401-3618
Phone (336) 272-8335 ext. 107

Other identifiers 1

IdentifierTypeStateIssuer
3418297MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Wescare Professional Services LLC19 organizations share this tax ID, including this one

Other organizations with this tax ID 18

Organizations that report the same tax identification number in the National Provider Directory.

View all 18

Locations

2100 Fairfax Rd
Greensboro, NC 27407

NPI Registry JSON

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642550400000",
    "number": "1104986132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 OAK BRANCH DR STE A",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274072995",
            "telephone_number": "336-272-8335",
            "fax_number": "336-272-8339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 OAK BRANCH DR STE A",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "27407",
            "telephone_number": "336-272-8335",
            "fax_number": "336-272-8339"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "166 Marajo Ct",
            "address_purpose": "LOCATION",
            "city": "Winston Salem",
            "state": "NC",
            "postal_code": "271279117",
            "country_code": "US",
            "telephone_number": "336-272-8335 x107",
            "fax_number": "336-272-8339",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3603 Dartford Dr",
            "address_purpose": "LOCATION",
            "city": "Greensboro",
            "state": "NC",
            "postal_code": "274077551",
            "country_code": "US",
            "telephone_number": "336-272-8335 x107",
            "fax_number": "336-272-8339",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "221 Bedford Dr",
            "address_purpose": "LOCATION",
            "city": "Eden",
            "state": "NC",
            "postal_code": "272882205",
            "country_code": "US",
            "telephone_number": "336-272-8335 x107",
            "fax_number": "336-272-8339",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "824 Blazingwood Dr",
            "address_purpose": "LOCATION",
            "city": "Greensboro",
            "state": "NC",
            "postal_code": "274068227",
            "country_code": "US",
            "telephone_number": "336-272-8335 x107",
            "fax_number": "336-272-8339",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2204 Oakmont Ct",
            "address_purpose": "LOCATION",
            "city": "Greensboro",
            "state": "NC",
            "postal_code": "274076076",
            "country_code": "US",
            "telephone_number": "336-272-8335 x107",
            "fax_number": "336-272-8339",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1407 E Meadow Rd",
            "address_purpose": "LOCATION",
            "city": "Eden",
            "state": "NC",
            "postal_code": "272883937",
            "country_code": "US",
            "telephone_number": "336-272-8335 x107",
            "fax_number": "336-272-8339",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "236 McTavish Ln",
            "address_purpose": "LOCATION",
            "city": "Winston Salem",
            "state": "NC",
            "postal_code": "271035989",
            "country_code": "US",
            "telephone_number": "336-272-8335 x107",
            "fax_number": "336-272-8339",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6136 Ashbrook Cir",
            "address_purpose": "LOCATION",
            "city": "Archdale",
            "state": "NC",
            "postal_code": "272633840",
            "country_code": "US",
            "telephone_number": "336-272-8335 x107",
            "fax_number": "336-272-8339",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "223 W Brower Ave",
            "address_purpose": "LOCATION",
            "city": "Liberty",
            "state": "NC",
            "postal_code": "272983122",
            "country_code": "US",
            "telephone_number": "336-272-8335 x107",
            "fax_number": "336-272-8339",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "509 Fernway Dr",
            "address_purpose": "LOCATION",
            "city": "Burlington",
            "state": "NC",
            "postal_code": "272178850",
            "country_code": "US",
            "telephone_number": "336-272-8335 x107",
            "fax_number": "336-272-8339",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9824 Nc Highway 87",
            "address_purpose": "LOCATION",
            "city": "Reidsville",
            "state": "NC",
            "postal_code": "273207372",
            "country_code": "US",
            "telephone_number": "336-272-8335 x107",
            "fax_number": "336-272-8339",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5709 Cranberry Ct",
            "address_purpose": "LOCATION",
            "city": "Greensboro",
            "state": "NC",
            "postal_code": "274059511",
            "country_code": "US",
            "telephone_number": "336-272-8335 x107",
            "fax_number": "336-272-8339",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1009A E Webb Ave",
            "address_purpose": "LOCATION",
            "city": "Burlington",
            "state": "NC",
            "postal_code": "272176657",
            "country_code": "US",
            "telephone_number": "336-272-8335 x107",
            "fax_number": "336-272-8339",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1716 Hawkcrest Ln",
            "address_purpose": "LOCATION",
            "city": "Winston Salem",
            "state": "NC",
            "postal_code": "271274869",
            "country_code": "US",
            "telephone_number": "336-272-8335 x107",
            "fax_number": "336-272-8339",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1309 Gorrell St",
            "address_purpose": "LOCATION",
            "city": "Greensboro",
            "state": "NC",
            "postal_code": "274013507",
            "country_code": "US",
            "telephone_number": "336-272-8335 x107",
            "fax_number": "336-272-8339",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4545 Jessup Grove Rd",
            "address_purpose": "LOCATION",
            "city": "Greensboro",
            "state": "NC",
            "postal_code": "274109407",
            "country_code": "US",
            "telephone_number": "336-272-8335 x107",
            "fax_number": "336-272-8339",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "300 Bingham St",
            "address_purpose": "LOCATION",
            "city": "Greensboro",
            "state": "NC",
            "postal_code": "274013618",
            "country_code": "US",
            "telephone_number": "336-272-8335 x107",
            "fax_number": "336-272-8339",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WESCARE PROFESSIONAL SERVICES, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-11",
        "last_updated": "2022-01-19",
        "certification_date": "2022-01-19",
        "status": "A",
        "authorized_official_last_name": "PAGE",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "336-272-8335"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "NC",
            "license": "MHL-041-941",
            "primary": true
        },
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3418297",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2022; 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.