NPIMap

Organization Active NPI

Wescare Professional Services, LLC.

  • Community/Behavioral Health Agency
  • Eden, NC
National Provider Identifier
1669810560
Registry record updated Mar 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
MHL-079-078 Issued in NC
Legal business name
WESCARE PROFESSIONAL SERVICES, LLC.
Practice address
221 Bedford Dr
Eden, NC 27288-2205
Phone
(336) 623-9116
NPI assigned
Jun 13, 2013
Last updated
Mar 4, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2016

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

Authorized official

Name
Mr. Eric M. Page
Title
Operations Manager
Phone
(336) 272-8335

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X MHL-079-078 NC
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X MHL-079-078 NC
Community/Behavioral Health Agency 251S00000X MHL-079-078 NC Primary

Addresses

Primary practice location

221 Bedford Dr
Eden, NC 27288-2205

Mailing address

10 Oak Branch Dr Ste a
Greensboro, NC 27407-2995
Phone (336) 272-8335

Other identifiers 1

IdentifierTypeStateIssuer
6603864MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Wescare Professional Services LLC19 organizations share this tax ID, including this one

Other organizations with this tax ID 18

Organizations that report the same tax identification number in the National Provider Directory.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1371081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457049600000",
    "number": "1669810560",
    "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": "221 BEDFORD DR",
            "city": "EDEN",
            "state": "NC",
            "postal_code": "272882205",
            "telephone_number": "336-623-9116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESCARE PROFESSIONAL SERVICES, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-13",
        "last_updated": "2016-03-04",
        "status": "A",
        "authorized_official_last_name": "PAGE",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "336-272-8335",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NC",
            "license": "MHL-079-078",
            "primary": false
        },
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "NC",
            "license": "MHL-079-078",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": "MHL-079-078",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6603864",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Eden, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2016; 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.