Active NPI
S & T Wecare
- Mental Illness Community Based Residential Treatment Facility
- Fayetteville, NC
National Provider Identifier
1215062666
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Illness Community Based Residential Treatment Facility
- License
- MHL-026-952
- Legal business name
- S & T WECARE
- Practice address
- 501 Helen St
Fayetteville, NC 28303 - Phone
- (910) 826-2273
- Fax
- (910) 483-9600
- NPI assigned
- Feb 23, 2007
- Last updated
- Dec 6, 2022
- 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
- Mr. Thomas Jeffrey Maxwell
- Title
- Director
- Phone
- (910) 826-2273
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Illness Community Based Residential Treatment Facility | 320800000X | MHL-026-689 | NC | |
| Mental Illness Community Based Residential Treatment Facility | 320800000X | NU | ||
| Mental Illness Community Based Residential Treatment Facility | 320800000X | MHL-026-952 | NC | Primary |
| Community/Behavioral Health Agency | 251S00000X | NU |
Addresses
Primary practice location
501 Helen St
Fayetteville, NC 28303
Mailing address
501 Helen St
Fayetteville, NC 28303-3022
Phone (910) 826-2273
Other practice location 1
4528 Chambersburg Rd
Fayetteville, NC 28314-2368
Phone (910) 491-6084
Other practice location 2
6777 Candlewood Dr
Fayetteville, NC 28314-1697
Phone (910) 868-2061
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6603279 | Medicaid | NC |
National Provider Directory
National Provider Directory- Tax ID family
- S T 'We Care'
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Social Worker
- Fayetteville, NC
- NPI 1578853255
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Fayetteville, NC
- NPI 1811032022
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172188800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1670284800000",
"number": "1215062666",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "501 HELEN ST",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283033022",
"telephone_number": "910-826-2273",
"fax_number": "910-483-9600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 HELEN ST",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "28303",
"telephone_number": "910-826-2273",
"fax_number": "910-483-9600"
}
],
"practiceLocations": [
{
"address_1": "4528 Chambersburg Rd",
"address_purpose": "LOCATION",
"city": "Fayetteville",
"state": "NC",
"postal_code": "283142368",
"country_code": "US",
"telephone_number": "910-491-6084",
"fax_number": "910-483-9600",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6777 Candlewood Dr",
"address_purpose": "LOCATION",
"city": "Fayetteville",
"state": "NC",
"postal_code": "283141697",
"country_code": "US",
"telephone_number": "910-868-2061",
"fax_number": "910-483-9600",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "S & T WECARE",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-23",
"last_updated": "2022-12-06",
"certification_date": "2022-12-06",
"status": "A",
"authorized_official_last_name": "MAXWELL",
"authorized_official_first_name": "THOMAS",
"authorized_official_middle_name": "JEFFREY",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "910-826-2273",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "320800000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Mental Illness",
"state": "NC",
"license": "MHL-026-689",
"primary": false
},
{
"code": "320800000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Mental Illness",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "320800000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Mental Illness",
"state": "NC",
"license": "MHL-026-952",
"primary": true
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6603279",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fayetteville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 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.