Organization Active NPI

Wecare Health

  • Land Ambulance
  • Stone Mountain, GA
National Provider Identifier
1194502591
Registry record updated May 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
WECARE HEALTH
Practice address
4864 Memorial Dr
Stone Mountain, GA 30083-4146
Phone
(494) 578-9306
NPI assigned
Sep 11, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 17, 2024

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

Authorized official

Name
Abdikadar Abdirizak Osman
Title
Owner
Phone
(494) 578-9306

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X Primary

Addresses

Primary practice location

4864 Memorial Dr
Stone Mountain, GA 30083-4146

Mailing address

4864 Memorial Dr
Stone Mountain, GA 30083-4146
Phone (404) 578-9306

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240731002834 GA Part B Supplier - Ambulance Service Supplier 9436696010 Practice locations: Stone Mountain, GA

National Provider Directory

National Provider Directory

Locations

4864 Memorial Dr
Stone Mountain, GA 30083
Phone (494) 578-9306

4866 Memorial Dr
Stone Mountain, GA 30083
Phone (470) 770-1111

NPI Registry JSON

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

{
    "created_epoch": "1694390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715904000000",
    "number": "1194502591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4864 MEMORIAL DR",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300834146",
            "telephone_number": "404-578-9306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4864 MEMORIAL DR",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300834146",
            "telephone_number": "494-578-9306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WECARE HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-11",
        "last_updated": "2024-05-17",
        "certification_date": "2024-05-17",
        "status": "A",
        "authorized_official_last_name": "OSMAN",
        "authorized_official_first_name": "ABDIKADAR",
        "authorized_official_middle_name": "ABDIRIZAK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "494-578-9306"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stone Mountain, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.