Wellcare Residence

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

Legal business name

WELLCARE RESIDENCE

Practice address

9 Northampton Dr
Willingboro, NJ 08046-1324

Phone

(609) 864-4795

Fax

(609) 261-1794

NPI assigned

Feb 13, 2015

Organization subpart

No

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

Authorized official

Name

Chantal Vieux-Louis

Title

Ceo

Phone

(609) 864-4795

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1423785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423785600000",
    "number": "1932590700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 NORTHAMPTON DR",
            "city": "WILLINGBORO",
            "state": "NJ",
            "postal_code": "080461324",
            "fax_number": "609-261-1794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 NORTHAMPTON DR",
            "city": "WILLINGBORO",
            "state": "NJ",
            "postal_code": "080461324",
            "telephone_number": "609-864-4795",
            "fax_number": "609-261-1794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLCARE RESIDENCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-13",
        "last_updated": "2015-02-13",
        "status": "A",
        "authorized_official_last_name": "VIEUX-LOUIS",
        "authorized_official_first_name": "CHANTAL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "609-864-4795"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Adult Care Home Facility in Willingboro, NJ
• Providers in Willingboro, NJ by specialty
• Adult Care Home Facility in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2015; 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.