NPIMap

Organization Active NPI

Well Care Home Health, Inc

  • Home Health Agency
  • Wilmington, NC
National Provider Identifier
1760470660
Registry record updated Jun 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
HC1231 Issued in NC
Legal business name
WELL CARE HOME HEALTH, INC
Practice address
131 Racine Dr Ste 201
Wilmington, NC 28403-8752
Phone
(910) 362-9405
Fax
(910) 202-1376
NPI assigned
Oct 13, 2005
Last updated
Jun 28, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
WELL CARE DME LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 28, 2024

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

Authorized official

Name
Mr. Zac Long
Title
Ceo
Phone
(910) 362-9405

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X HC1231 NC Primary

Addresses

Primary practice location

131 Racine Dr Ste 201
Wilmington, NC 28403-8752

Mailing address

131 Racine Dr Ste 201
Wilmington, NC 28403-8752
Phone (910) 362-9405

Other identifiers 2

IdentifierTypeStateIssuer
0073NOtherNCBLUE CROSS BLUE SHIELD
3427002MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120531000148 NC Part A Provider - Home Health Agency 0547423568 Practice locations: Wilmington, NC

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1760470660. Details of each certification follow.

Home health agency certification: CCN 347002

Legal name
WELL CARE HOME HEALTH, INC
Doing business as
WELL CARE HOME HEALTH, INC.
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jul 1, 1966
Last certification
Jan 14, 2017
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Sep 21, 2000 in NC
Enrollment address
131 Racine Dr
Ste 201
Wilmington, NC 28403-8752
HHA Branch

Care Compare: Home health agency

Medicare Care Compare
Listed as
Well Care Home HealthCCN 347002 · All quality measures
Overall star rating
5 of 5
Ownership
Proprietary
Certified
Jul 1, 1966
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
34D0655418Well Care Home Health131 Racine Drive, Suite 201, Wilmington, NC 28403Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 5

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
John Chadwick Individual OtherChief Financial Officer Sep 1, 2019
Well Care Health, Inc. Organization, Wilmington, NC Corporation 5% Or Greater Direct Ownership Interest Nov 30, 2021 100%
Daniel Thompson Individual W-2 Managing EmployeeVice President Compliance Quality Sep 19, 2018
Zachary Long Individual Corporate OfficerChief Executive Officer Oct 1, 2019
W-2 Managing EmployeeChief Executive Officer Oct 1, 2017 100%
Long Family Ventures, LLC Organization, Raleigh, NC LLC 5% Or Greater Indirect Ownership Interest Nov 30, 2021 100%

Facilities with the same owner 10

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Affiliated clinicians 363

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 363

NPI Registry JSON

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

{
    "created_epoch": "1129161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719532800000",
    "number": "1760470660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 RACINE DR STE 201",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284038752",
            "telephone_number": "910-362-9405",
            "fax_number": "910-202-1376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 RACINE DR STE 201",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284038752",
            "telephone_number": "910-362-9405",
            "fax_number": "910-202-1376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELL CARE HOME HEALTH, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WELL CARE DME LLC",
        "enumeration_date": "2005-10-13",
        "last_updated": "2024-06-28",
        "certification_date": "2024-06-28",
        "status": "A",
        "authorized_official_last_name": "LONG",
        "authorized_official_first_name": "ZAC",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "910-362-9405",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NC",
            "license": "HC1231",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0073N",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3427002",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, NC

Sources for this page

Verify at the official NPI Registry.