We Care Lifesource, Inc

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

License

320900000X Issued in FL

Legal business name

WE CARE LIFESOURCE, INC

Practice address

1004 E Dr Martin Luther King Jr Blvd
Plant City, FL 33563-5712

Phone

(813) 766-0863

NPI assigned

Jun 6, 2008

Organization subpart

No

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

Authorized official

Name

Ms. Lavonda Moore Hargrove

Title

President

Phone

(813) 766-0863

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1212710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212710400000",
    "number": "1750540456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1004 E DR MARTIN LUTHER KING JR BLVD",
            "city": "PLANT CITY",
            "state": "FL",
            "postal_code": "335635712",
            "telephone_number": "813-766-0863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1004 E DR MARTIN LUTHER KING JR BLVD",
            "city": "PLANT CITY",
            "state": "FL",
            "postal_code": "335635712",
            "telephone_number": "813-766-0863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WE CARE LIFESOURCE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-06",
        "last_updated": "2008-06-06",
        "status": "A",
        "authorized_official_last_name": "HARGROVE",
        "authorized_official_first_name": "LAVONDA",
        "authorized_official_middle_name": "MOORE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "813-766-0863",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "FL",
            "license": "320900000X",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6932215 96",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6932215 98",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Samantha Lynn Wasula
• Watson Clinic LLP (Watson Clinic LLP Plant City)
• Stephanie C Watson, L.D.O.
• Ana Evelyn Watters, NMT
• Nicole Marie Watts, APRN, FNP-BC
• Lauren Weaver, CF-SLP
• Sheryle Diane Wellen, NP
• Chelsea Renee Wellinghurst, OTR/L, MOT
• Kasey Wells
• Lindsey N Wells, PA-C

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Plant City, FL
• Providers in Plant City, FL by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2008; 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.