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
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Mental Health Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Coon Rapids, MN
- NPI 1326237751
-
- Professional Counselor
- Rochester, MN
- NPI 1356917108
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.