Organization Active NPI

Wezesha Group LLC

  • Child Intellectual and/or Developmental Disabilities Respite Care
  • Conway, AR
National Provider Identifier
1477404630
Registry record updated Feb 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child Intellectual and/or Developmental Disabilities Respite CareTaxonomy code 385HR2060X
Legal business name
WEZESHA GROUP LLC
Practice address
2107 Pleasant Valley Dr
Conway, AR 72032-2544
Phone
(870) 995-5275
Fax
(501) 377-9013
NPI assigned
Feb 4, 2026
Last updated
Feb 4, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2026

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

Authorized official

Name
Mr. Annias TateNPI 1851197537
Title
President
Phone
(870) 995-5275

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Child Intellectual and/or Developmental Disabilities Respite Care 385HR2060X Primary

Addresses

Primary practice location

2107 Pleasant Valley Dr
Conway, AR 72032-2544

Mailing address

2107 Pleasant Valley Dr
Conway, AR 72032-2544
Phone (870) 995-5275

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1770163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770163200000",
    "number": "1477404630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2107 PLEASANT VALLEY DR",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720322544",
            "telephone_number": "870-995-5275",
            "fax_number": "501-377-9013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2107 PLEASANT VALLEY DR",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720322544",
            "telephone_number": "870-995-5275",
            "fax_number": "501-377-9013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEZESHA GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-02-04",
        "last_updated": "2026-02-04",
        "certification_date": "2026-02-04",
        "status": "A",
        "authorized_official_last_name": "TATE",
        "authorized_official_first_name": "ANNIAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "870-995-5275",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "385HR2060X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conway, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2026; 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.