Organization Active NPI

Wellcare of Maine, Inc.

  • Health Maintenance Organization
  • Tampa, FL
National Provider Identifier
1609352178
Registry record updated Jul 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
Legal business name
WELLCARE OF MAINE, INC.
Practice address
8735 Henderson Rd
Tampa, FL 33634-1143
Phone
(800) 960-2530
NPI assigned
Jul 17, 2018
Organization subpart
Yes
Parent organization
WELLCARE HEALTH PLANS, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 25, 2019

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

Authorized official

Name
Ms. Erika Michelle Lema
Title
Senior Legal Specialist
Phone
(813) 206-3252

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X Primary

Addresses

Primary practice location

8735 Henderson Rd
Tampa, FL 33634-1143

Mailing address

8735 Henderson Rd
Tampa, FL 33634-1143
Phone (800) 960-2530

Other identifiers 1

IdentifierTypeStateIssuer
HMD305081OtherMESTATE OF MAINE BUREAU OF INSURANCE

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1531785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1564012800000",
    "number": "1609352178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8735 HENDERSON RD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336341143",
            "telephone_number": "800-960-2530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8735 HENDERSON RD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336341143",
            "telephone_number": "800-960-2530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLCARE OF MAINE, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WELLCARE HEALTH PLANS, INC.",
        "enumeration_date": "2018-07-17",
        "last_updated": "2019-07-25",
        "status": "A",
        "authorized_official_last_name": "LEMA",
        "authorized_official_first_name": "ERIKA",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "SENIOR LEGAL SPECIALIST",
        "authorized_official_telephone_number": "813-206-3252",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF MAINE BUREAU OF INSURANCE",
            "identifier": "HMD305081",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2019; 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.