Organization Active NPI

Wellcare Support Inc

  • Home Health Agency
  • West Memphis, AR
National Provider Identifier
1811759384
Registry record updated Jan 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
WELLCARE SUPPORT INC
Practice address
310 Mid Continent PLZ Ste 614
West Memphis, AR 72301-1760
Phone
(870) 635-2671
Fax
(870) 394-4938
NPI assigned
Jan 29, 2024
Last updated
Jan 29, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2024

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

Authorized official

Name
Brandy Lucas
Title
Administrator
Phone
(870) 635-2671

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary

Addresses

Primary practice location

310 Mid Continent PLZ Ste 614
West Memphis, AR 72301-1760

Mailing address

310 Mid Continent PLZ Ste 614
West Memphis, AR 72301-1760
Phone (870) 635-2671

National Provider Directory

National Provider Directory

Locations

310 Mid Continent Plz
Ste 614
West Memphis, AR 72301
Phone (870) 635-2671

NPI Registry JSON

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

{
    "created_epoch": "1706486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706486400000",
    "number": "1811759384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 MID CONTINENT PLZ STE 614",
            "city": "WEST MEMPHIS",
            "state": "AR",
            "postal_code": "723011760",
            "telephone_number": "870-635-2671",
            "fax_number": "870-394-4938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 MID CONTINENT PLZ STE 614",
            "city": "WEST MEMPHIS",
            "state": "AR",
            "postal_code": "723011760",
            "telephone_number": "870-635-2671",
            "fax_number": "870-394-4938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLCARE SUPPORT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-29",
        "last_updated": "2024-01-29",
        "certification_date": "2024-01-29",
        "status": "A",
        "authorized_official_last_name": "LUCAS",
        "authorized_official_first_name": "BRANDY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "870-635-2671"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Memphis, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2024; 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.