Organization Active NPI

Wellcare Facility LLC

  • Infusion Therapy Clinic/Center
  • Waverly, OH
National Provider Identifier
1740193572
Registry record updated Sep 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infusion Therapy Clinic/CenterTaxonomy code 261QI0500X
Legal business name
WELLCARE FACILITY LLC
Practice address
1451 Millers LN
Waverly, OH 45690-9188
Phone
(346) 396-1252
NPI assigned
Sep 23, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2026

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

Authorized official

Name
Pamela S Brock
Title
Owner
Phone
(346) 396-1252

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infusion Therapy Clinic/Center 261QI0500X Primary

Addresses

Primary practice location

1451 Millers LN
Waverly, OH 45690-9188

Mailing address

1451 Millers LN
Waverly, OH 45690-9188
Phone (346) 396-1252

NPI Registry JSON

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

{
    "created_epoch": "1790121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790121600000",
    "number": "1740193572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1451 MILLERS LN",
            "city": "WAVERLY",
            "state": "OH",
            "postal_code": "456909188",
            "telephone_number": "346-396-1252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1451 MILLERS LN",
            "city": "WAVERLY",
            "state": "OH",
            "postal_code": "456909188",
            "telephone_number": "346-396-1252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLCARE FACILITY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-23",
        "last_updated": "2026-09-23",
        "certification_date": "2026-09-23",
        "status": "A",
        "authorized_official_last_name": "BROCK",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "346-396-1252"
    },
    "taxonomies": [
        {
            "code": "261QI0500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Infusion Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waverly, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.