Active NPI
Wescare Professional Services, LLC.
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Asheboro, NC
National Provider Identifier
1639674765
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- License
- MHL-076-129
- Legal business name
- WESCARE PROFESSIONAL SERVICES, LLC.
- Practice address
- 1080 Walden Rd
Asheboro, NC 27205-1544 - Phone
- (336) 736-8627
- Fax
- (336) 272-8335
- NPI assigned
- Mar 29, 2018
- Last updated
- Mar 29, 2018
- 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. Eric Michael Page, QP
- Title
- Operations Manager
- Phone
- (336) 272-8335
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual and/or Developmental Disabilities Residential Treatment Facility | 320600000X | MHL-076-129 | NC | |
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | MHL-076-129 | NC | Primary |
Addresses
Primary practice location
1080 Walden Rd
Asheboro, NC 27205-1544
Mailing address
10 Oak Branch Dr Ste a
Greensboro, NC 27407-2995
Phone (336) 272-8335
National Provider Directory
National Provider Directory- Tax ID family
- Wescare Professional Services LLC
Other organizations with this tax ID 18
Organizations that report the same tax identification number in the National Provider Directory.
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- Community/Behavioral Health Agency
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- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1522281600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1522281600000",
"number": "1639674765",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 OAK BRANCH DR STE A",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274072995",
"telephone_number": "336-272-8335",
"fax_number": "336-272-8339"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1080 WALDEN RD",
"city": "ASHEBORO",
"state": "NC",
"postal_code": "272051544",
"telephone_number": "336-736-8627",
"fax_number": "336-272-8335"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WESCARE PROFESSIONAL SERVICES, LLC.",
"organizational_subpart": "NO",
"enumeration_date": "2018-03-29",
"last_updated": "2018-03-29",
"status": "A",
"authorized_official_last_name": "PAGE",
"authorized_official_first_name": "ERIC",
"authorized_official_middle_name": "MICHAEL",
"authorized_official_title_or_position": "OPERATIONS MANAGER",
"authorized_official_telephone_number": "336-272-8335",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "QP"
},
"taxonomies": [
{
"code": "320600000X",
"taxonomy_group": "",
"desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": "NC",
"license": "MHL-076-129",
"primary": false
},
{
"code": "320900000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": "NC",
"license": "MHL-076-129",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Asheboro, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.