Organization Active NPI

Wellcare Senior Center LLC

  • Adult Day Care Clinic/Center
  • Missouri City, TX
National Provider Identifier
1457865461
Registry record updated Jan 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
Legal business name
WELLCARE SENIOR CENTER LLC
Doing business as
Wellcare Senior Center
Practice address
3250 Williamsburg LN
Missouri City, TX 77459-2228
Phone
(713) 884-5612
NPI assigned
Nov 29, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2020

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

Authorized official

Name
CHI Yuk Trieu, RN
Title
Manager
Phone
(281) 208-7099

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X Primary

Addresses

Primary practice location

3250 Williamsburg LN
Missouri City, TX 77459-2228

Mailing address

3250 Williamsburg LN
Missouri City, TX 77459-2228
Phone (281) 208-7709

Other names 1

  • Wellcare Senior Center Doing business as

National Provider Directory

National Provider Directory

Locations

3250 Williamsburg Ln
Missouri City, TX 77459
Phone (713) 884-5612

NPI Registry JSON

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

{
    "created_epoch": "1511913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580342400000",
    "number": "1457865461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3250 WILLIAMSBURG LN",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "774592228",
            "telephone_number": "281-208-7709",
            "fax_number": "281-969-7972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3250 WILLIAMSBURG LN",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "774592228",
            "telephone_number": "713-884-5612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLCARE SENIOR CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-29",
        "last_updated": "2020-01-30",
        "certification_date": "2020-01-30",
        "status": "A",
        "authorized_official_last_name": "TRIEU",
        "authorized_official_first_name": "CHI YUK",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "281-208-7099",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wellcare Senior Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Wellcare Senior Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Missouri City, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 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.