Organization Active NPI

Willcare

  • Case Management Agency
  • Wellsville, NY
National Provider Identifier
1831557305
Registry record updated Jan 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
License
72 087951 Issued in NY
Legal business name
WILLCARE
Practice address
95 N Main St
Wellsville, NY 14895-1280
Phone
(585) 593-9410
NPI assigned
Jan 29, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2016

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

Authorized official

Name
Mary Jo McNinch
Title
Director
Phone
(585) 593-9410

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X 72 087951 NY Primary

Addresses

Primary practice location

95 N Main St
Wellsville, NY 14895-1280

Mailing address

95 N Main St
Wellsville, NY 14895-1280

Other identifiers 1

IdentifierTypeStateIssuer
72 087951OtherNYNYS BOARD OF EDUCATION

National Provider Directory

National Provider Directory

Locations

95 N Main St
Wellsville, NY 14895
Phone (585) 593-9410

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1454025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454025600000",
    "number": "1831557305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95 N MAIN ST",
            "city": "WELLSVILLE",
            "state": "NY",
            "postal_code": "148951280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 N MAIN ST",
            "city": "WELLSVILLE",
            "state": "NY",
            "postal_code": "148951280",
            "telephone_number": "585-593-9410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-29",
        "last_updated": "2016-01-29",
        "status": "A",
        "authorized_official_last_name": "MCNINCH",
        "authorized_official_first_name": "MARY JO",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "585-593-9410"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NY",
            "license": "72 087951",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NYS BOARD OF EDUCATION",
            "identifier": "72 087951",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wellsville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2016; 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.