Wholecare Wellness LLC

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

Legal business name

WHOLECARE WELLNESS LLC

Practice address

5390 Peachtree Industrial Blvd Ste 130
Norcross, GA 30071-1566

Phone

(404) 797-1097

NPI assigned

Aug 27, 2019

Organization subpart

No

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

Authorized official

Name

Ji Lee

Title

Adminstration

Phone

(404) 797-1097

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• wholecare wellness Doing business as

Locations

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

{
    "created_epoch": "1566864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1570579200000",
    "number": "1629626445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5390 PEACHTREE INDUSTRIAL BLVD STE 130",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300711566",
            "telephone_number": "404-797-1097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5390 PEACHTREE INDUSTRIAL BLVD STE 130",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300711566",
            "telephone_number": "404-797-1097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHOLECARE WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-27",
        "last_updated": "2019-10-09",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "JI",
        "authorized_official_title_or_position": "ADMINSTRATION",
        "authorized_official_telephone_number": "404-797-1097"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "417006435J",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "417006435G",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "wholecare wellness",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "wholecare wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Diana Margaret Whiteman, M.D.
• Rex Allan Whiteman, D.D.S.
• Kimberly Royale Stubbs Whitworth, MD
• Wholecare Caregivers LLC
• Wholecare Medical, Inc
• Julia Keanna Wigfall, MSW
• Camille Latrice Wiggins
• William W. Crone, MD, PC
• Ashley Marie Williams, PHARMD
• Che Williams

• Adult Day Care Clinic/Center in Norcross, GA
• Providers in Norcross, GA by specialty
• Adult Day Care Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 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.