Organization Active NPI

Well Care Home Care LLC

Doing business as WeCare Behavioral Health Services

  • Adult Mental Health Clinic/Center
  • Waite Park, MN
National Provider Identifier
1891271409
Registry record updated Apr 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
WELL CARE HOME CARE LLC
Doing business as
WeCare Behavioral Health Services
Practice address
136 Division St
Waite Park, MN 56387-1330
Phone
(651) 621-4112
NPI assigned
Jul 17, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2022

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

Authorized official

Name
Olatunde Olumuyiwa
Title
Owner
Phone
(320) 281-4449

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

136 Division St
Waite Park, MN 56387-1330

Mailing address

136 Division St
Waite Park, MN 56387-1330
Phone (320) 281-4449

Other names 1

  • WeCare Behavioral Health Services Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260429000430 MN Part B Supplier - Clinic/Group Practice 1759858657 Receives reassigned benefits from 2 practitioners
Practice locations: Waite Park, MN

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1531785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650067200000",
    "number": "1891271409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "136 DIVISION ST",
            "city": "WAITE PARK",
            "state": "MN",
            "postal_code": "563871330",
            "telephone_number": "320-281-4449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "136 DIVISION ST",
            "city": "WAITE PARK",
            "state": "MN",
            "postal_code": "563871330",
            "telephone_number": "651-621-4112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELL CARE HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-17",
        "last_updated": "2022-04-16",
        "certification_date": "2022-04-16",
        "status": "A",
        "authorized_official_last_name": "OLUMUYIWA",
        "authorized_official_first_name": "OLATUNDE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "320-281-4449"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WeCare Behavioral Health Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Waite Park, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2022; 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.