Organization Active NPI

Wheeler Supportive Services, Inc.

  • In Home Supportive Care Agency
  • Stafford, VA
National Provider Identifier
1740651546
Registry record updated Oct 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
2274 Issued in VA
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

Updated by the provider on Oct 19, 2015

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)CodeLicenseStatePrimary
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 Directory

NPI 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.

Verify at the official NPI Registry.