Wellington Parc Health Systems, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

100647 Issued in KY

Legal business name

WELLINGTON PARC HEALTH SYSTEMS, INC.

Doing business as

Wellington Parc of Bowling Green

Practice address

1381 Campbell LN
Bowling Green, KY 42104-1049

Phone

(270) 843-0587

Fax

(270) 843-0874

NPI assigned

Jul 11, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Terry Lynn Skaggs

Title

Cfo

Phone

(270) 926-9355

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Wellington Parc of Bowling Green Doing business as

Tax ID family

Wellington Parc Health Systems Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Wellington Parc Health Systems, Inc.

  • Alzheimer Center (Dementia Center)
  • Paducah, KY
  • NPI 1104891662
  NPD tax ID
• Wellington Parc Health Systems, Inc.

  • Skilled Nursing Facility
  • Owensboro, KY
  • NPI 1598763898
  NPD tax ID

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

{
    "created_epoch": "1121040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1235137530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 HARVARD DR",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423016185",
            "telephone_number": "270-926-9355",
            "fax_number": "270-684-6283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1381 CAMPBELL LN",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421041049",
            "telephone_number": "270-843-0587",
            "fax_number": "270-843-0874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLINGTON PARC HEALTH SYSTEMS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SKAGGS",
        "authorized_official_first_name": "TERRY",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "270-926-9355",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "KY",
            "license": "100647",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "12503348",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wellington Parc of Bowling Green",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kali B Weber, CRNA
• Jada Webster
• Bruce Scott Weickel, CRNA
• Stacie Weickel, CRNA
• Richard D Welch, M.D.
• Bryan Cody Wells, BHS
• Carmen Wells, M.S., CCC-SP
• Heather Wells, APRN
• Jalonda J Wells, RBT
• Nina Kaye Wells, LCSW

• Skilled Nursing Facility in Bowling Green, KY
• Providers in Bowling Green, KY by specialty
• Skilled Nursing Facility in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.