NPIMap

Organization Active NPI

Well Care Home Health of the Southern Triangle, Inc.

  • Home Health Agency
  • Holly Springs, NC
National Provider Identifier
1508418005
Registry record updated Jun 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
WELL CARE HOME HEALTH OF THE SOUTHERN TRIANGLE, INC.
Practice address
4928 Linksland Dr Ste 340
Holly Springs, NC 27540-7455
Phone
(910) 362-9405
NPI assigned
Jul 15, 2019
Last updated
Jun 6, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2025

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

Authorized official

Name
Daniel Thompson
Title
VP, Compliance and Quality
Phone
(910) 362-9405

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

4928 Linksland Dr Ste 340
Holly Springs, NC 27540-7455

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
O20200413001898 NC Part A Provider - Home Health Agency 0648600734 Practice locations: Holly Springs, NC

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1508418005. Details of each certification follow.

Home health agency certification: CCN 347336

Legal name
WELL CARE HOME HEALTH OF THE SOUTHERN TRIANGLE, INC.
Doing business as
WELL CARE HOME HEALTH OF THE SOUTHERN TRIANGLE
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Aug 16, 2021
Last certification
Aug 16, 2021
Organization structure
CorporationProprietary
Incorporated
Sep 19, 2018 in NC
Enrollment address
4928 Linksland Dr
Ste 340
Holly Springs, NC 27540-7455
HHA Branch

Care Compare: Home health agency

Medicare Care Compare
Listed as
Well Care Home Health of the Southern Triangle, Inc.CCN 347336 · All quality measures
Overall star rating
5 of 5
Ownership
-
Certified
Aug 16, 2021
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

106 N Johnson St
Fuquay Varina, NC 27526

106 N Johnson St
Ste A
Fuquay Varina, NC 27526

4928 Linksland Dr
Ste 340
Holly Springs, NC 27540
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 Corporate DirectorChief Financial Officer Sep 1, 2019
Operational/Managerial ControlChief Financial Officerr Sep 1, 2019
Well Care Health, Inc. Organization, Wilmington, NC Corporation 5% Or Greater Direct Ownership Interest Nov 30, 2021 100%
Daniel Thompson Individual Corporate OfficerSenior Director of Compliance & Pi Sep 19, 2018
OtherDelegated Official Oct 1, 2019
Zachary Long Individual Corporate OfficerChief Executive Officer Sep 19, 2018
W-2 Managing EmployeeChief Executive Officer Sep 9, 2018
Long Family Ventures, LLC Organization, Raleigh, NC Corporation 5% Or Greater Indirect Ownership Interest Nov 30, 2021 100%

Facilities with the same owner 10

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

Practitioners & affiliated clinicians

Affiliated clinicians 64

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 64

NPI Registry JSON

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

{
    "created_epoch": "1563148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749168000000",
    "number": "1508418005",
    "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": "4928 LINKSLAND DR STE 340",
            "city": "HOLLY SPRINGS",
            "state": "NC",
            "postal_code": "275407455",
            "telephone_number": "910-362-9405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELL CARE HOME HEALTH OF THE SOUTHERN TRIANGLE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-15",
        "last_updated": "2025-06-06",
        "certification_date": "2025-06-06",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "VP, COMPLIANCE AND QUALITY",
        "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 Holly Springs, NC

Sources for this page

Verify at the official NPI Registry.