Wescare Professional Services, LLC.
Organization Active NPI Community/Behavioral Health Agency · Greensboro, NC
NPI 1962840900 · NPPES record last updated Aug 28, 2015
Key facts
- NPI
- 1962840900
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Behavioral Health Agency 251S00000X
- License
- MHL-041-752 (NC)
- Legal business name
- WESCARE PROFESSIONAL SERVICES, LLC.
- Practice address
- 1309 Gorrell St
Greensboro, NC 27401-3507 - Phone
- (336) 275-0057
- NPI assigned
- Jun 12, 2013
- Organization subpart
- No
Authorized official
- Name
- Mr. Eric M. Page, QP
- Title
- Operations Manager
- Phone
- (336) 272-8335
Corporate family (same tax ID) 18
National Provider Directory
- Tax ID family
- Wescare Professional Services LLC
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | MHL-041-752 | NC | Yes |
| Adult Care Home Facility | 311ZA0620X | MHL0-41-752 | NC | |
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | MHL-041-752 | NC |
Addresses
Primary practice location
1309 Gorrell St
Greensboro, NC 27401-3507
Mailing address
2704 N Church St
Greensboro, NC 27405-3657
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3418297 | Medicaid | NC |
Other providers in Greensboro, NC
- Wescare Professional Services, LLC.
- Wescare Professional Services, LLC.
- Wescare Professional Services, LLC.
- Wescare Professional Services, LLC.
- Wescare Professional Services, LLC.
- Dia West
- Katlyn Danielle West
- Kelly Leigh West
- Marcus Marcellus West
- Nzingha West
All providers in Greensboro, NC · Community/Behavioral Health Agency in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 28, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.