WELLCARE HEALTH SYSTEM, LLC (NPI# 1225528938) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225528938 |
| Entity Type | Organization |
| Organization Name | WELLCARE HEALTH SYSTEM, LLC |
| Practice Address |
241 N Superior St Ste 102 Toledo OH 43604-1253 |
| Mailing Address |
26355 Seminary Rd Perrysburg OH 43551-6210 |
| Practice Telephone | 4192143220 |
| Practice Fax Number | 4192143218 |
| Mailing Telephone | 1272093133 |
| Mailing Fax Number | 8662711135 |
| Enumeration Date | 2018-05-17 |
| Last Update Date | 2018-05-17 |
| Authorized Official Name | DR. RYAN OERTELL LAKIN (PRESIDENT & CEO) |
| Authorized Official Telephone | 3127209313 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 284300000X | Special Hospital | Hospitals |
| Street Address |
241 N SUPERIOR ST STE 102 |
| City | TOLEDO |
| State | OH |
| Zip Code | 43604-1253 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427619089 | Omni Medical Services Inc | Clinic/Center | 241 N Superior St Ste 102, Toledo, OH 43604-1253 | 2019-06-25 |
| 1336639046 | Wellcare Medical Services, LLC | Clinic/Center | 241 N Superior St Ste 102, Toledo, OH 43604-1253 | 2018-05-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346879590 | Kaushal B Jani | Student in an Organized Health Care Education/Training Program | Saint Vincent Medical Center, 2200 Jefferson Ave, Toledo, OH 43604 | 2020-04-08 |
| 1548807316 | Jennifer Marie Bismack | Peer Specialist | 142 23rd St, Suite 911, Toledo, OH 43604 | 2019-11-29 |
| 1841849064 | Keith Allen Vore | Student in an Organized Health Care Education/Training Program | 1117 Jefferson #214, Toledo, OH 43604 | 2019-09-10 |
| 1740846765 | Mohammad Shahrukh Tanweer | Student in an Organized Health Care Education/Training Program | Mercy Health-st. Vincent Medical Center, 2200 Jefferson Avenue, Toledo, OH 43604 | 2019-05-15 |
| 1740846229 | Sami Al-rahman Syed | Student in an Organized Health Care Education/Training Program | Mercy Health - St. Vincent, 2200 Jefferson Ave., Toledo, OH 43604 | 2019-05-10 |
| 1306402870 | Poojitha Kolluri | Student in an Organized Health Care Education/Training Program | 2200 Jefferson Avenue - Mercy Family Physician, Toledo, OH 43604 | 2019-05-10 |
| 1407375090 | Keyana Renee Galloway | Social Worker | 500 Madison Ave Ste 300, Toledo, OH 43604 | 2017-09-14 |
| 1467979302 | Courtney Lorraine Wilson | Physical Therapy Assistant | 1609 N. Summit St, Toledo, OH 43604 | 2017-08-22 |
| 1811426208 | Rosamaria Sanchez | Counselor | 701 Jefferson Ave Suite 101, Toledo, OH 43604 | 2017-06-08 |
| 1306373014 | Salwa Beydoun | Social Worker | 701 Jefferson, Toledo, OH 43604 | 2017-05-12 |
| Find all providers in zip 43604 | ||||
| Taxonomy Code | 284300000X |
| Grouping | Hospitals |
| Classification | Special Hospital |
| A designation by the AHA of a hospital whose primary function of the institution is to provide diagnostic and treatment services for patients who have specified medical conditions, both surgical and nonsurgical. |
| Notes: Source: AHA Guide, Registration section, p. A5. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619588787 | Promedica Physicians At Home, LLC | Special Hospital | 1801 Richards Rd, Toledo, OH 43607-1037 | 2020-08-12 |
| 1710323456 | Ann Arbor Va Medical Center | Special Hospital | 1200 S Detroit Ave, Toledo, OH 43614-5903 | 2013-05-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558922476 | Crystal Clinic Orthopaedic Center, LLC | Special Hospital | 1 Eagle Valley Ct Ste 101, Broadview Hts, OH 44147-2982 | 2019-06-21 |
| 1134602808 | Crystal Clinic Orthopaedic Center, LLC | Special Hospital | 500 W Hopocan Ave Ste 102, Barberton, OH 44203-2262 | 2018-09-10 |
| 1013428259 | Crystal Clinic Orthopaedic Center, LLC | Special Hospital | 437 Portage Trl Ste B, Cuyahoga Falls, OH 44221-3227 | 2017-10-16 |
| 1952832305 | Long Island Jewish Forest Hills Hospital | Special Hospital | 3590 Blackberry Ln, Westlake, OH 44145-7400 | 2017-03-27 |
| 1770025652 | Aultman Radiation Oncology of Alliance Community Hosp | Special Hospital | 885 South Sawburg Ave Suite 108, Alliance, OH 44601-5926 | 2016-11-09 |
| 1245685452 | Rock Creek Medical Center | Special Hospital | 2863 St Rt 45 N, Rock Creek, OH 44084 | 2016-04-26 |
| 1558785329 | Saskia Richter | Special Hospital | 1442 Neil Ave Apt A, Columbus, OH 43201-2651 | 2014-02-13 |
| 1750626735 | Acuity Specialty Hospital | Special Hospital | 4697 Harrison St Fl 2, Bellaire, OH 43906-1338 | 2012-12-03 |
| 1619288099 | Osumc James Cancer Hosptial | Special Hospital | 660 Ackerman Rd Fl 5, Columbus, OH 43202-4500 | 2010-06-30 |
| 1033394614 | Louis Stokes Cleveland Va Medical Center | Special Hospital | 27030 Cedar Rd Apt 1212, The Hamptons, Beachwood, OH 44122-1195 | 2008-01-02 |
| Find all providers with the same taxonomy | ||||
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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.