NPIMap

Organization Active NPI

Wescare Professional Services, LLC.

  • Mental Illness Community Based Residential Treatment Facility
  • Eden, NC
National Provider Identifier
1275972770
Registry record updated Aug 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
License
MHL-079-106 Issued in NC
Legal business name
WESCARE PROFESSIONAL SERVICES, LLC.
Practice address
1407 E Meadow Rd
Eden, NC 27288-3937
Phone
(336) 635-0073
NPI assigned
Jun 18, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2015

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

Authorized official

Name
Mr. Eric M. Page, QP
Title
Operations Manager
Phone
(336) 272-8335

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X MHL-079-106 NC Primary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X MHL-079-106 NC

Addresses

Primary practice location

1407 E Meadow Rd
Eden, NC 27288-3937

Mailing address

2704 N Church St
Greensboro, NC 27405-3657

Other identifiers 1

IdentifierTypeStateIssuer
3418297MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Wescare Professional Services LLC19 organizations share this tax ID, including this one

Other organizations with this tax ID 18

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

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1371513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438560000000",
    "number": "1275972770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2704 N CHURCH ST",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274053657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1407 E MEADOW RD",
            "city": "EDEN",
            "state": "NC",
            "postal_code": "272883937",
            "telephone_number": "336-635-0073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESCARE PROFESSIONAL SERVICES, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-18",
        "last_updated": "2015-08-03",
        "status": "A",
        "authorized_official_last_name": "PAGE",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "336-272-8335",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "QP"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "NC",
            "license": "MHL-079-106",
            "primary": true
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NC",
            "license": "MHL-079-106",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3418297",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Eden, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 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.