Active NPI
Wheeler Supportive Services, Inc.
- In Home Supportive Care Agency
- Stafford, VA
National Provider Identifier
1740651546
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- License
- 2274
- Legal business name
- WHEELER SUPPORTIVE SERVICES, INC.
- Practice address
- 800 Corporate Dr
Suite 301
Stafford, VA 22554-4889 - Phone
- (415) 240-3100
- NPI assigned
- Oct 19, 2015
- 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. Zackery Wheeler, SW
- Title
- Ceo
- Phone
- (415) 240-3100
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | 2274 | VA | Primary |
Addresses
Primary practice location
800 Corporate Dr
Suite 301
Stafford, VA 22554-4889
Mailing address
PO Box 1042
Dumfries, VA 22026-9042
Phone (415) 240-3100
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1445212800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1445212800000",
"number": "1740651546",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1042",
"city": "DUMFRIES",
"state": "VA",
"postal_code": "220269042",
"telephone_number": "415-240-3100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 CORPORATE DR",
"address_2": "SUITE 301",
"city": "STAFFORD",
"state": "VA",
"postal_code": "225544889",
"telephone_number": "415-240-3100"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WHEELER SUPPORTIVE SERVICES, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2015-10-19",
"last_updated": "2015-10-19",
"status": "A",
"authorized_official_last_name": "WHEELER",
"authorized_official_first_name": "ZACKERY",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "415-240-3100",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "SW"
},
"taxonomies": [
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": "VA",
"license": "2274",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Stafford, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.