Organization Active NPI

WKJ Unlimited, LLC

  • Community/Behavioral Health Agency
  • Fort Mill, SC
National Provider Identifier
1578901872
Registry record updated Jun 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
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

Updated by the provider on Jun 7, 2013

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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.