Active NPI
Wellness Re-Entry
- Case Management Agency
- Durham, NC
National Provider Identifier
1740040591
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Agency
- Legal business name
- WELLNESS RE-ENTRY
- Practice address
- 1101 N Mangum St
Durham, NC 27701-1931 - Phone
- (919) 590-5508
- NPI assigned
- Mar 20, 2024
- Organization subpart
- Yes
- Parent organization
- 4EVERMORE VENTURES
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Zelda Everson
- Title
- General Manager/Owner
- Phone
- (862) 763-2535
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | Primary |
Addresses
Primary practice location
1101 N Mangum St
Durham, NC 27701-1931
Mailing address
3600 N Duke St. Ste. 1
#1155
Durham, NC 27704
Phone (919) 590-5508
Other names 2
- Wellness Re-Entry
- 4Evermore Ventures
National Provider Directory
National Provider Directory- Part of
- Wellness Re-Entry
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Case Management Agency
- Durham, NC
- NPI 1487414215
-
- Social Worker
- Suffolk, VA
- NPI 1356041180
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1710892800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1710979200000",
"number": "1740040591",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3600 N DUKE ST. STE. 1",
"address_2": "#1155",
"city": "DURHAM",
"state": "NC",
"postal_code": "27704",
"telephone_number": "919-590-5508",
"fax_number": "919-287-2934"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1101 N MANGUM ST",
"city": "DURHAM",
"state": "NC",
"postal_code": "277011931",
"telephone_number": "919-590-5508"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WELLNESS RE-ENTRY",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "4EVERMORE VENTURES",
"enumeration_date": "2024-03-20",
"last_updated": "2024-03-21",
"certification_date": "2024-03-21",
"status": "A",
"authorized_official_last_name": "EVERSON",
"authorized_official_first_name": "ZELDA",
"authorized_official_title_or_position": "GENERAL MANAGER/OWNER",
"authorized_official_telephone_number": "862-763-2535"
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Wellness Re-Entry",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "4Evermore Ventures",
"code": "4",
"type": "Former Legal Business Name"
}
]
}Other providers in Durham, NC
- Well Balanced Nutrition, LLC
- Samuel S Wellman, M.D.
- Wellness Consultants International PLLC
- Wellness in Motion 4 Life: a Strong Mind Equals a Strong Body, PLLC
- Wellness Pathways Counseling, PLLC
- Wellness Solutions Center, LLC
- Wellness Station LLC
- Wellnest Primary Care, PLLC
- Rebecca Caroline Wellons, M.S., CF-SLP
- Christopher Wells, MSW, P-LCSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.