Active NPI
Sharon Wellman
- In Home Supportive Care Agency
- Goldston, NC
National Provider Identifier
1194172072
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- Practice address
- 295 Sandy Dowdy Rd
Goldston, NC 27252-9623 - Phone
- (919) 898-4345
- NPI assigned
- May 19, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmentally Disabled Services Day Training Agency | 251C00000X | 408160 | NC | |
| Home Health Agency | 251E00000X | 408160 | NC | |
| In Home Supportive Care Agency | 253Z00000X | Primary |
Addresses
Primary practice location
295 Sandy Dowdy Rd
Goldston, NC 27252-9623
Mailing address
295 Sandy Dowdy Rd
Goldston, NC 27252-9623
Phone (919) 898-4345
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 408160 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 408160 | NC | MD | Home Health Agency |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellman Ultimate Care Services | Home Health | Past | Accepting new patients |
| Wellman Ultimate Care Services | Home Health | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1463616000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1463616000000",
"number": "1194172072",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "295 SANDY DOWDY RD",
"city": "GOLDSTON",
"state": "NC",
"postal_code": "272529623",
"telephone_number": "919-898-4345"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "295 SANDY DOWDY RD",
"city": "GOLDSTON",
"state": "NC",
"postal_code": "272529623",
"telephone_number": "919-898-4345"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WELLMAN",
"first_name": "SHARON",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-05-19",
"last_updated": "2016-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "251C00000X",
"taxonomy_group": "",
"desc": "Day Training, Developmentally Disabled Services",
"state": "NC",
"license": "408160",
"primary": false
},
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "NC",
"license": "408160",
"primary": false
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "408160",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Goldston, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.