We

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

WE

Practice address

111 Wellmore Drive
Tega Cay, SC 29708

Phone

(803) 835-7000

NPI assigned

Jan 30, 2015

Organization subpart

No

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

Authorized official

Name

Donald Thompson

Title

Ceo

Phone

(704) 246-1620

Specialties & licenses 1

Addresses

Tax ID family

The Lodge at Wellmore Tega Cay2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Wellmore of Tega Cay, LLC

  • Skilled Nursing Facility
  • Tega Cay, SC
  • NPI 1619427697
  NPD tax ID

Locations

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

{
    "created_epoch": "1422576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422576000000",
    "number": "1962892893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10706 SIKES PL",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282778015",
            "telephone_number": "704-246-1620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 WELLMORE DRIVE",
            "city": "TEGA CAY",
            "state": "SC",
            "postal_code": "29708",
            "telephone_number": "803-835-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-30",
        "last_updated": "2015-01-30",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "DONALD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "704-246-1620"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "SC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaitlyn Vollmer
• Jeaneen Wainman
• Wal-Mart Stores East LP
• Wal-Mart Stores East, LP
• Heather Lynn Ward, M.A., CCC-SLP
• Wellmore of Tega Cay, LLC
• Jessica Suzanne Whitaker, PT
• Wendy Wingard-Gay, MS CCC/SLP
• Brett Alexandra Wnuk, MSN, APRN, PMHNP-BC

• All providers in Tega Cay, SC
• Skilled Nursing Facility in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 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.