NPIMap

Organization Active NPI

Wescare Professional Services, LLC.

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Graham, NC
National Provider Identifier
1356734669
Registry record updated Mar 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
Legal business name
WESCARE PROFESSIONAL SERVICES, LLC.
Practice address
203 Wilson St
Graham, NC 27253-2721
Phone
(336) 270-3644
Fax
(336) 272-8335
NPI assigned
Mar 11, 2015
Last updated
Mar 11, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X NU Primary

Addresses

Primary practice location

203 Wilson St
Graham, NC 27253-2721

Mailing address

2704 N Church St
Greensboro, NC 27405-3657
Phone (336) 272-8335

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": "1426032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426032000000",
    "number": "1356734669",
    "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",
            "telephone_number": "336-272-8335",
            "fax_number": "336-272-8339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 WILSON ST",
            "city": "GRAHAM",
            "state": "NC",
            "postal_code": "272532721",
            "telephone_number": "336-270-3644",
            "fax_number": "336-272-8335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESCARE PROFESSIONAL SERVICES, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-11",
        "last_updated": "2015-03-11",
        "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": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3418297",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Graham, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 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.