Active NPI
Wecare Health
- Land Ambulance
- Stone Mountain, GA
National Provider Identifier
1194502591
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240731002834 | GA | Part B Supplier - Ambulance Service Supplier | 9436696010 | Practice locations: Stone Mountain, GA |
National Provider Directory
National Provider DirectoryLocations
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.