Care4Us Wellness Center LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

CARE4US WELLNESS CENTER LLC

Practice address

17 Clarence St
Brockton, MA 02301-1607

Phone

(508) 345-6983

NPI assigned

Jan 26, 2018

Last updated

Jan 26, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

John Chijioke JobNPI 1407393010

Title

Pmhnp-BC

Phone

(508) 345-6983

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Locations

Practitioners 2

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.

• John Job

  • Psychiatric/Mental Health Nurse Practitioner
  • Worcester, MA
  • NPI 1407393010
  Medicare reassignment Care Compare group NPD Authorized official
• Kelechi Job

  • Psychiatric/Mental Health Nurse Practitioner
  • Worcester, MA
  • NPI 1821506783
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1516924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516924800000",
    "number": "1871091553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 CLARENCE ST",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023011607",
            "telephone_number": "508-345-6983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 CLARENCE ST",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023011607",
            "telephone_number": "508-345-6983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARE4US WELLNESS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-26",
        "last_updated": "2018-01-26",
        "status": "A",
        "authorized_official_last_name": "JOB",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "CHIJIOKE",
        "authorized_official_title_or_position": "PMHNP-BC",
        "authorized_official_telephone_number": "508-345-6983"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ludmila Silva Cardoso
• Nazareth F Cardoso
• Paula Cardoso
• Care Coverage Healthcare Staffing LLC
• Care With Confidence Mass LLC
• Carebuddy of Massachusetts LLC
• Carecruise Services Inc
• Krystal Carey
• Shelby Jean Carey
• Caring Angels Adult Day Health and Educational Center LLC.

• Psychiatric/Mental Health Nurse Practitioner in Brockton, MA
• Providers in Brockton, MA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.