Organization Active NPI

Wellcare Options, LLC

  • Home Health Agency
  • Las Cruces, NM
National Provider Identifier
1740580596
Registry record updated Oct 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
1T3349 Issued in NM
Legal business name
WELLCARE OPTIONS, LLC
Practice address
1740 W Picacho Ave
Las Cruces, NM 88005-2337
Phone
(575) 525-9083
Fax
(575) 647-1471
NPI assigned
Oct 27, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2010

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

Authorized official

Name
Mr. Jonathan David BoldtNPI 1497278311
Title
Director
Phone
(575) 639-1649

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 1T3349 NM Primary

Addresses

Primary practice location

1740 W Picacho Ave
Las Cruces, NM 88005-2337

Mailing address

1740 W Picacho Ave
Las Cruces, NM 88005-2337
Phone (575) 525-9083

Other names 1

  • Wellcare Options Doing business as

National Provider Directory

National Provider Directory

Locations

1740 W Picacho Ave
Las Cruces, NM 88005
Phone (575) 525-9083

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1288137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288137600000",
    "number": "1740580596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1740 W PICACHO AVE",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880052337",
            "telephone_number": "575-525-9083",
            "fax_number": "575-647-1471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1740 W PICACHO AVE",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880052337",
            "telephone_number": "575-525-9083",
            "fax_number": "575-647-1471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLCARE OPTIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-27",
        "last_updated": "2010-10-27",
        "status": "A",
        "authorized_official_last_name": "BOLDT",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "575-639-1649",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NM",
            "license": "1T3349",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wellcare Options",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Las Cruces, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2010; 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.