Active NPI
WKJ Unlimited, LLC
- Community/Behavioral Health Agency
- Fort Mill, SC
National Provider Identifier
1578901872
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- WKJ UNLIMITED, LLC
- Doing business as
- WOLFEPAC HEALTHCARE CENTER
- Practice address
- 637 Rock Lake GLN
Fort Mill, SC 29715-0001 - Phone
- (980) 229-3824
- NPI assigned
- Jun 7, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. William Karim Jasper
- Title
- Member
- Phone
- (980) 229-3824
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | SC | Primary |
Addresses
Primary practice location
637 Rock Lake GLN
Fort Mill, SC 29715-0001
Mailing address
637 Rock Lake GLN
Fort Mill, SC 29715-0001
Phone (980) 229-3824
Other names 1
- WOLFEPAC HEALTHCARE CENTER
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1370563200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1370563200000",
"number": "1578901872",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "637 ROCK LAKE GLN",
"city": "FORT MILL",
"state": "SC",
"postal_code": "297150001",
"telephone_number": "980-229-3824"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "637 ROCK LAKE GLN",
"city": "FORT MILL",
"state": "SC",
"postal_code": "297150001",
"telephone_number": "980-229-3824"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WKJ UNLIMITED, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-06-07",
"last_updated": "2013-06-07",
"status": "A",
"authorized_official_last_name": "JASPER",
"authorized_official_first_name": "WILLIAM",
"authorized_official_middle_name": "KARIM",
"authorized_official_title_or_position": "MEMBER",
"authorized_official_telephone_number": "980-229-3824",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "SC",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "WOLFEPAC HEALTHCARE CENTER",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Fort Mill, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.