Wellcare, Inc.

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

WELLCARE, INC.

Practice address

2105 Academy Cir
Colorado Springs, CO 80909-1663

Phone

(719) 598-5555

Fax

(719) 388-2030

NPI assigned

Aug 18, 2022

Organization subpart

No

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

Authorized official

Name

Tim Dan Campbell

Title

Owner

Phone

(719) 598-5555

Specialties & licenses 1

Addresses

Tax ID family

Wellcare Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

• Wellcare Inc.

  • Physical Therapist
  • Colorado Springs, CO
  • NPI 1639535206
  NPD tax ID
• Wellcare Inc.

  • Behavior Analyst
  • Colorado Springs, CO
  • NPI 1932707395
  NPD tax ID
• Wellcare, Inc

  • Occupational Therapist
  • Colorado Springs, CO
  • NPI 1720706450
  NPD tax ID

Locations

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

{
    "created_epoch": "1660780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660780800000",
    "number": "1922726660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5446 N ACADEMY BLVD STE 105",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809183668",
            "telephone_number": "719-598-5555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2105 ACADEMY CIR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809091663",
            "telephone_number": "719-598-5555",
            "fax_number": "719-388-2030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLCARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-18",
        "last_updated": "2022-08-18",
        "certification_date": "2022-08-18",
        "status": "A",
        "authorized_official_last_name": "CAMPBELL",
        "authorized_official_first_name": "TIM",
        "authorized_official_middle_name": "DAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "719-598-5555"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Therese Welker, MSW, LCSW
• Well Rooted Care LLC
• Wellcare Inc.
• Wellcare Inc.
• Wellcare, Inc
• Mary O'Toole Weller, O.T.R.
• Welllife, LLC
• Elizabeth Wellmann
• Wellness Enterprises LLC
• Wellness Med Supplies LLC

• Behavior Analyst in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Behavior Analyst in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2022; 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.