WELL CARE HOME CARE (NPI# 1225279508) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225279508 |
| Entity Type | Organization |
| Organization Name | WELL CARE HOME CARE |
| Practice Address |
2850 Village Drive Suite 202 Fayetteville NC 28304-3175 |
| Mailing Address |
6752 Parker Farm Dr Wilmington NC 28405-3175 |
| Practice Telephone | 9105001699 |
| Mailing Telephone | 9103629405 |
| Mailing Fax Number | 9103629948 |
| Enumeration Date | 2009-03-16 |
| Last Update Date | 2018-01-29 |
| Authorized Official Name | MS. WENDIESUE HOUGH (ACCOUNTS RECEIVABLE MANAGER) |
| Authorized Official Telephone | 9103385416 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251E00000X | Home Health | HC1614 | NC | Agencies |
| N | 251J00000X | Nursing Care | HC1614 | NC | Agencies |
| Y | 253Z00000X | In Home Supportive Care | HC1614 | NC | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 6601425 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225533714 | Well Care Home Care | Home Health | 1801 Stanley Rd Ste 325, Greensboro, NC 27407-2707 | 2018-03-27 |
| 1013399831 | Well Care Home Care | Home Health | 790 13th St S, Saint Cloud, MN 56301-5509 | 2015-06-29 |
| 1720229784 | Well Care Home Care | Home Health | 1715 Country Club Rd Ste C, Jacksonville, NC 28546-6042 | 2009-03-20 |
| 1902047293 | Well Care Home Care | Home Health | 8341 Bandford Way, Suite 001, Raleigh, NC 27615-2098 | 2009-03-16 |
| 1043451321 | Well Care Home Care | Home Health | 118 Ocean Highway West, Supply, NC 28462 | 2009-03-16 |
| 1568603967 | Well Care Home Care | Home Health | 1349 S Madison St, Whiteville, NC 28472-4521 | 2009-03-13 |
| 1942535760 | Well Care Home Care | Home Health | 2501 Wayne Memorial Dr, Suite B, Goldsboro, NC 27534-9436 | 2009-10-13 |
| 1205825759 | Well Care Home Care | Home Health | 6752 Parker Farm Dr, Suite 200, Wilmington, NC 28405-3175 | 2005-10-18 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | WELL CARE HOME CARE, INC. | 6752 Parker Farm Dr #200, Wilmington, NC 28405-3175 |
| Street Address |
2850 VILLAGE DRIVE SUITE 202 |
| City | FAYETTEVILLE |
| State | NC |
| Zip Code | 28304-3175 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598301061 | Coast To Coast Bilingual Counseling | Social Worker | 910 Hope Mills Road, Fayetteville, NC 28304 | 2019-11-20 |
| 1811530561 | Frances L. Hurst | Technician | 6732 Carloway Dr, Fayetteville, NC 28304 | 2019-10-25 |
| 1538717764 | Rose Mary A O'conner | Technician | 3530 Madison Ave, Fayetteville, NC 28304 | 2019-08-30 |
| 1932756087 | Sally Frances Jones | Technician | 2053 Mango Circle, Fayetteville, NC 28304 | 2019-08-23 |
| 1326528803 | Jeneen Yvette Townsend | Counselor | 2671 Adams Lake Dr Apt F, Fayetteville, NC 28304 | 2018-08-15 |
| 1780179580 | Ma Cornelia Villavicencio Leano | Nurse Practitioner | 3081 Stone Carriage Cir Apt Z, Fayetteville, NC 28304 | 2018-06-25 |
| 1861986267 | Pediatric After Hours Care of Fayetteville | Pediatrics | 556 Sandhurst Drive, Fayetteville, NC 28304 | 2018-06-19 |
| 1700386133 | Good Night Medical of Ohio, LLC | Durable Medical Equipment & Medical Supplies | 405 Owen Dr Ste 202, Fayetteville, NC 28304 | 2018-02-12 |
| 1003321365 | Valleygate Dental Surgery Center of Fayetteville, LLC | Dentist | 2038 Litho Place, Fayetteville, NC 28304 | 2017-12-08 |
| 1871004663 | The Salt Project | Marriage & Family Therapist | 1611-b Owen Dr., Fayetteville, NC 28304 | 2017-10-19 |
| Find all providers in zip 28304 | ||||
| Taxonomy Code | 253Z00000X |
| Grouping | Agencies |
| Classification | In Home Supportive Care |
| An In Home Supportive Care Agency provides services in the patient’s home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves. |
| Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487252219 | Tera Campbell | In Home Supportive Care | 159 Dortmund Dr, Fayetteville, OH 45118-9406 | 2020-10-14 |
| 1568077485 | Pmp Home Care Agency Inc | In Home Supportive Care | 5329 Yadkin Rd Ste B, Fayetteville, NC 28303-3254 | 2020-09-09 |
| 1609481571 | Valley Care LLC | In Home Supportive Care | 2978 Cumberland Rd Ste 102, Fayetteville, NC 28306-2373 | 2020-09-08 |
| 1184236564 | Health & Home Services, Inc. | In Home Supportive Care | 2411 Robeson Street, Suite 100, Fayetteville, NC 28305-5577 | 2020-08-18 |
| 1609487487 | Living Private Home Care, LLC | In Home Supportive Care | 101 Devant St Ste 105a, Fayetteville, GA 30214-2711 | 2020-08-13 |
| 1518576289 | New Revelation Home Care LLC | In Home Supportive Care | 1500 Bragg Blvd Ste 104, Fayetteville, NC 28301-4289 | 2020-07-28 |
| 1063038792 | Dianna Marie Anderson | In Home Supportive Care | 101 Old Sandy Creek Rd Ste B, Fayetteville, GA 30214-4546 | 2020-06-18 |
| 1487279485 | A Clear Look Coaching Agency, LLC | In Home Supportive Care | 4582 Cumberland Rd Ste 104, Fayetteville, NC 28306-2416 | 2020-06-15 |
| 1679198899 | A Clear Look Coaching Agency, LLC | In Home Supportive Care | 910 Hay St, Fayetteville, NC 28305-5314 | 2020-06-12 |
| 1356965164 | Kedra Daniel | In Home Supportive Care | 435 Brenda Ln, Fayetteville, GA 30214-1505 | 2020-06-08 |
| Find all providers in FAYETTEVILLE | ||||
| City | FAYETTEVILLE |
| Zip Code | 28304 |
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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.