S & T WECARE (NPI# 1215062666) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215062666 |
| Entity Type | Organization |
| Organization Name | S & T WECARE |
| Practice Address |
501 Helen St Fayetteville NC 28303 |
| Mailing Address |
501 Helen St Fayetteville NC 28303-3022 |
| Practice Telephone | 9108262273 |
| Practice Fax Number | 9104839600 |
| Mailing Telephone | 9108262273 |
| Mailing Fax Number | 9104839600 |
| Enumeration Date | 2007-02-23 |
| Last Update Date | 2018-06-26 |
| Authorized Official Name | MR. THOMAS JEFFREY MAXWELL (DIRECTOR) |
| Authorized Official Telephone | 9108262273 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 320800000X | Community Based Residential Treatment Facility, Mental Illness | MHL-026-952 | NC | Residential Treatment Facilities |
| Y | 320800000X | Community Based Residential Treatment Facility, Mental Illness | MHL-026-689 | NC | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 6603279 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 6777 Candlewood Dr, Fayetteville, NC 283141697 | 9108682061 | 9104839600 |
| 4528 Chambersburg Rd, Fayetteville, NC 283142368 | 9104916084 | 9104839600 |
| Street Address |
501 HELEN ST |
| City | FAYETTEVILLE |
| State | NC |
| Zip Code | 28303 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578853255 | S & T 'we Care' | Social Worker | 501 Helen St, Fayetteville, NC 28303-3022 | 2011-04-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801404496 | Matthew Pace | Physician Assistant | Bldg 5-4257 Bastogne St, Fort Bragg, NC 28303 | 2020-07-20 |
| 1952920449 | Vonetta Bethea Jackson | Social Worker | 391 Wagoner Drive, Fayetteville, NC 28303 | 2020-04-14 |
| 1932746229 | Julie Harriss | Specialist/Technologist | Bldg E 4062, Canopy Lane, Fort Bragg, NC 28303 | 2019-12-05 |
| 1235780354 | Helen Delores Johnson | Technician | 261 Pierron Dr, Fayetteville, NC 28303 | 2019-09-20 |
| 1922655075 | Andrea Margaret Hutnam | Technician | 714 Shortridge Rd, Fayetteville, NC 28303 | 2019-08-23 |
| 1225695273 | Breona Lister | Dental Hygienist | 38 17 Gruber Rd, Fort Bragg, NC 28303 | 2019-05-24 |
| 1780148957 | Brian K Cox Sr. | Occupational Therapy Assistant | 5300 Ramsey St, Fayetteville, NC 28303 | 2019-01-22 |
| 1730670902 | Michael Sadtler | Counselor | 804 Stamper Rd Ste 101, Fayetteville, NC 28303 | 2018-05-23 |
| 1104320399 | Tia Porterfield | Counselor | 2018 Fort Bragg Rd Ste 112a, Fayetteville, NC 28303 | 2018-03-21 |
| 1154835577 | Jessica Bass Bosworth | Psychologist | 3415 Youngstown Dr, Fayetteville, NC 28303 | 2017-11-21 |
| Find all providers in zip 28303 | ||||
| Taxonomy Code | 320800000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment Facility, Mental Illness |
| A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548793441 | Stonebridge Family Counseling | Community Based Residential Treatment Facility, Mental Illness | 209 Edison St E, Fayetteville, TN 37334-3007 | 2017-04-06 |
| 1366846404 | The Loving Home,inc. #6 | Community Based Residential Treatment Facility, Mental Illness | 1903 Bridger St, Fayetteville, NC 28301-3913 | 2014-10-17 |
| 1063814127 | Joyoflivingprogramsforyouthandfamiliesnetwork | Community Based Residential Treatment Facility, Mental Illness | 170 Hilo Rd, 1803 Hwy 92 N, Fayetteville, GA 30215-2402 | 2014-09-20 |
| 1770924482 | Pelham Supportive Services | Community Based Residential Treatment Facility, Mental Illness | 5740 Longview Dr, Fayetteville, NC 28306-8567 | 2013-07-10 |
| 1003167586 | Upward Process Inc. | Community Based Residential Treatment Facility, Mental Illness | 568 Alleghany Rd, Fayetteville, NC 28304 | 2012-09-25 |
| 1629369012 | New Horizons Group Home | Community Based Residential Treatment Facility, Mental Illness | 3117 Dyke St, Fayetteville, NC 28306-2808 | 2011-04-20 |
| 1053626135 | Pelham Supportive Services | Community Based Residential Treatment Facility, Mental Illness | 2226 Memory St, Fayetteville, NC 28304-5827 | 2010-08-12 |
| 1295960326 | Precious Haven Inc. | Community Based Residential Treatment Facility, Mental Illness | 7762 Hazelwood Ave, Fayetteville, NC 28314-6246 | 2009-05-19 |
| 1710122114 | Melrose Center | Community Based Residential Treatment Facility, Mental Illness | 421 Maiden Ln Ste 207, Fayetteville, NC 28301-5055 | 2008-12-14 |
| 1710144738 | Pelham Supportive Services | Community Based Residential Treatment Facility, Mental Illness | 4906 Redwood Dr, Fayetteville, NC 28304-4213 | 2008-05-19 |
| Find all providers in FAYETTEVILLE | ||||
| City | FAYETTEVILLE |
| Zip Code | 28303 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.