Welcov Healthcare LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

330053 Issued in MN

Legal business name

WELCOV HEALTHCARE LLC

Doing business as

Bethel Care Center

Practice address

420 Marshall Ave
Saint Paul, MN 55102-1718

Phone

(651) 224-2368

Fax

(651) 224-3582

NPI assigned

Nov 8, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Alex Dybsky

Title

Assignee

Phone

(651) 323-2266

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Bethel Care Center Doing business as

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

{
    "created_epoch": "1131408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1555286400000",
    "number": "1811978877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 MARSHALL AVE",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551021718",
            "telephone_number": "651-224-2368",
            "fax_number": "651-224-3582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 MARSHALL AVE",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551021718",
            "telephone_number": "651-224-2368",
            "fax_number": "651-224-3582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELCOV HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-08",
        "last_updated": "2019-04-15",
        "status": "A",
        "authorized_official_last_name": "DYBSKY",
        "authorized_official_first_name": "ALEX",
        "authorized_official_title_or_position": "ASSIGNEE",
        "authorized_official_telephone_number": "651-323-2266",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MN",
            "license": "330053",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "493226900",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bethel Care Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Bethel Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Robert Welborn, M.D.
• Jessica Welch, R.D.
• Laurel Urquhart Welch, DPT
• Patricia Jean Welch, LMFT
• Sara Welch, ATC
• Tigist Welde
• Well America MN Inc
• Well Nest Integrative Pediatric Health & Well-Being LLC (well nest)
• Well-Being Mental Health and Consulting Services, LLC
• Well.Being: Counseling, Consulting, & Education L.L.C.

• Skilled Nursing Facility in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• Skilled Nursing Facility in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2019; 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.