Organization Active NPI

Wecare Medical, LLC

Doing business as Womens Center Boutique

  • Prosthetic/Orthotic Supplier
  • Ashland, KY
National Provider Identifier
1255589289
Registry record updated Jun 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
License
156463 Issued in KY
Legal business name
WECARE MEDICAL, LLC
Doing business as
Womens Center Boutique
Practice address
1000 Ashland Dr
Ashland, KY 41101-7084
Phone
(606) 833-2131
Fax
(606) 833-2130
NPI assigned
Sep 3, 2008
Last updated
Jun 16, 2015By the provider in NPPES
Organization subpart
Yes
Parent organization
WECARE MEDICAL, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 16, 2015

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

Authorized official

Name
Mr. Oley Joseph Burgess III
Title
Chief Executive Officer
Phone
(606) 325-9222

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Oxygen Equipment & Supplies (DME) 332BX2000X
Prosthetic/Orthotic Supplier 335E00000X 156463 KY Primary

Addresses

Primary practice location

1000 Ashland Dr
Ashland, KY 41101-7084

Mailing address

PO Box 554
Ashland, KY 41105-0554
Phone (606) 325-9222

Other identifiers 1

IdentifierTypeStateIssuer
7100290430MedicaidKY

Other names 1

  • Womens Center Boutique Doing business as

National Provider Directory

National Provider Directory
Part of
Wecare Medical LLC

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1220400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434412800000",
    "number": "1255589289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 554",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411050554",
            "telephone_number": "606-325-9222",
            "fax_number": "606-920-9425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 ASHLAND DR",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411017084",
            "telephone_number": "606-833-2131",
            "fax_number": "606-833-2130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WECARE MEDICAL, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WECARE MEDICAL, LLC",
        "enumeration_date": "2008-09-03",
        "last_updated": "2015-06-16",
        "status": "A",
        "authorized_official_last_name": "BURGESS",
        "authorized_official_first_name": "OLEY",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "606-325-9222",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "KY",
            "license": "156463",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100290430",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Womens Center Boutique",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ashland, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2015; 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.