NPIMap

Organization Active NPI

Well Care Home Health of Brunswickco, Inc.

  • Home Health Agency
  • Supply, NC
National Provider Identifier
1386486967
Registry record updated Feb 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
WELL CARE HOME HEALTH OF BRUNSWICKCO, INC.
Practice address
118 Ocean Highway West
Supply, NC 28462-0475
Phone
(910) 362-9405
NPI assigned
Jun 12, 2024
Last updated
Feb 3, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2025

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

Authorized official

Name
Zachary Wayne Long
Title
Chief Executive Officer
Phone
(910) 362-9405

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

118 Ocean Highway West
Supply, NC 28462-0475

Mailing address

131 Racine Dr Ste 201
Wilmington, NC 28403-8752
Phone (910) 362-9405

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250410000964 NC Part A Provider - Home Health Agency 8628592706 Practice locations: Supply, NC

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1386486967. Details of each certification follow.

Home health agency certification: CCN 347340

Legal name
WELL CARE HOME HEALTH OF BRUNSWICKCO, INC.
Doing business as
WELL CARE HEALTH, LLC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jul 18, 2025
Last certification
Jul 2, 2025
Organization structure
CorporationProprietary
Enrollment address
118 Ocean Highway West
Supply, NC 28462
HHA Branch

Care Compare: Home health agency

Medicare Care Compare
Listed as
Well Care Home Health of Brunswickco, IncCCN 347340 · All quality measures
Ownership
-
Certified
Jul 18, 2025
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

118 Ocean Hwy W
Supply, NC 28462
Phone (910) 362-9405

Ownership & related parties

All disclosed owners & managing parties 5

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
John Chadwick Individual W-2 Managing EmployeeChief Financial Officer Dec 3, 2024
Well Care Health, Inc. Organization, Wilmington, NC LLC, For-profit, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Dec 3, 2024 100%
Daniel Thompson Individual W-2 Managing EmployeeVP, Compliance and Quality Dec 3, 2024
Zachary Long Individual Corporate OfficerChief Executive Officer Dec 3, 2024
Long Family Ventures, LLC Organization, Raleigh, NC LLC, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Dec 3, 2024 100%

Facilities with the same owner 10

Facilities that share an organizational owner with 5% or greater ownership or operational control.

NPI Registry JSON

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

{
    "created_epoch": "1718150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738540800000",
    "number": "1386486967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 RACINE DR STE 201",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284038752",
            "telephone_number": "910-362-9405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 OCEAN HIGHWAY WEST",
            "city": "SUPPLY",
            "state": "NC",
            "postal_code": "284620475",
            "telephone_number": "910-362-9405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELL CARE HOME HEALTH OF BRUNSWICKCO, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-12",
        "last_updated": "2025-02-03",
        "certification_date": "2025-02-03",
        "status": "A",
        "authorized_official_last_name": "LONG",
        "authorized_official_first_name": "ZACHARY",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "910-362-9405"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Supply, NC

Sources for this page

Verify at the official NPI Registry.