Organization Active NPI

Wellcare Health Services LLC

  • In Home Supportive Care Agency
  • Florissant, MO
National Provider Identifier
1811360019
Registry record updated Nov 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
WELLCARE HEALTH SERVICES LLC
Practice address
13930 Invicta Dr
Florissant, MO 63034-2534
Phone
(314) 387-1978
NPI assigned
Nov 10, 2015
Last updated
Nov 10, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2015

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

Authorized official

Name
Ruth Ann Johnson
Title
Ceo
Phone
(314) 387-1978

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

13930 Invicta Dr
Florissant, MO 63034-2534

Mailing address

13930 Invicta Dr
Florissant, MO 63034-2534
Phone (314) 387-1978

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1447113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447113600000",
    "number": "1811360019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13930 INVICTA DR",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630342534",
            "telephone_number": "314-387-1978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13930 INVICTA DR",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630342534",
            "telephone_number": "314-387-1978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLCARE HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-10",
        "last_updated": "2015-11-10",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "RUTH ANN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "314-387-1978"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Florissant, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 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.