NPIMap

Organization Active NPI

Wescare Professional Services, LLC.

  • Community/Behavioral Health Agency
  • Greensboro, NC
National Provider Identifier
1497193403
Registry record updated Aug 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
MHL-041-666 Issued in NC
Legal business name
WESCARE PROFESSIONAL SERVICES, LLC.
Practice address
2204 Oakmont CT
Greensboro, NC 27407-6076
Phone
(336) 285-7517
NPI assigned
Jun 12, 2013
Last updated
Aug 28, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 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
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X MHL-041-666 NC
Community/Behavioral Health Agency 251S00000X MHL-041-666 NC Primary

Addresses

Primary practice location

2204 Oakmont CT
Greensboro, NC 27407-6076

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": "1370995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440720000000",
    "number": "1497193403",
    "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": "2204 OAKMONT CT",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274076076",
            "telephone_number": "336-285-7517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESCARE PROFESSIONAL SERVICES, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-12",
        "last_updated": "2015-08-28",
        "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": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NC",
            "license": "MHL-041-666",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": "MHL-041-666",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3418297",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 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.