WESCARE PROFESSIONAL SERVICES, LLC. (NPI# 1639674765) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1639674765 |
Entity Type | Organization |
Organization Name | WESCARE PROFESSIONAL SERVICES, LLC. |
Practice Address |
1080 Walden Rd Asheboro NC 27205-1544 |
Mailing Address |
10 Oak Branch Dr Ste A Greensboro NC 27407-2995 |
Practice Telephone | 3367368627 |
Practice Fax Number | 3362728335 |
Mailing Telephone | 3362728335 |
Mailing Fax Number | 3362728339 |
Enumeration Date | 2018-03-29 |
Last Update Date | 2018-03-29 |
Authorized Official Name | MR. ERIC MICHAEL PAGE (OPERATIONS MANAGER) |
Authorized Official Telephone | 3362728335 |
Authorized Official Credential | QP |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 320600000X | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | MHL-076-129 | NC | Residential Treatment Facilities |
Y | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | MHL-076-129 | NC | Residential Treatment Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NC | 3418297 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760982888 | Wescare Professional Services, LLC. | Community Based Residential Treatment Facility, Mental Illness | 300 Bingham St, Greensboro, NC 27401 | 2018-02-15 |
1306384391 | Wescare Professional Services, LLC. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 115 Boyd St, Eden, NC 27288-4630 | 2017-02-09 |
1902263106 | Wescare Professional Services, LLC. | Community/Behavioral Health | 5709 Cranberry Ct, Greensboro, NC 27405-9511 | 2016-01-20 |
1558736066 | Wescare Professional Services, LLC. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1716 Hawkcrest Ln, Winston Salem, NC 27127-4869 | 2015-12-09 |
1811373624 | Wescare Professional Services, LLC. | Community Based Residential Treatment Facility, Mental Illness | 5221 Fox Hunt Dr, B, Greensboro, NC 27407-7143 | 2015-08-04 |
1598141582 | Wescare Professional Services, LLC. | Community Based Residential Treatment Facility, Mental Illness | 318 E Vandalia Rd, Greensboro, NC 27406-5906 | 2015-08-03 |
1063898013 | Wescare Professional Services, LLC. | Community Based Residential Treatment Facility, Mental Illness | 4759 Eagle Path, Winston Salem, NC 27127-6816 | 2015-07-31 |
1356734669 | Wescare Professional Services, LLC. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 203 Wilson St, Graham, NC 27253-2721 | 2015-03-11 |
1679975353 | Wescare Professional Services, LLC. | Community/Behavioral Health | 236 Mctavish Ln, Winston Salem, NC 27103 | 2014-09-24 |
1407258189 | Wescare Professional Services, LLC. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2813 Lees Chapel Rd, Browns Summit, NC 27214-9615 | 2014-09-24 |
Street Address |
1080 WALDEN RD |
City | ASHEBORO |
State | NC |
Zip Code | 27205-1544 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003208349 | Marva Price | Nurse Practitioner | 2222 South Fayetteville Street, Randolph County Health Department, Asheboro, NC 27205 | 2015-02-24 |
1982948386 | Sara Ann Coponen | Counselor | 4539 Cross Creek Rd, Asheboro, NC 27205 | 2012-11-26 |
1104151729 | Holly Marie O'grady Vanbencoten | Physician Assistant | 1714 Back Creek Ct, Asheboro, NC 27205 | 2009-10-15 |
1306060280 | Harmon Physical Therapy, Inc | Clinic/Center | 304 Lanier Avenue, Asheboro, NC 27205 | 2007-04-12 |
1932154408 | Behavioral Associates of Asheboro | Counselor | 547 N. Fayettevillie Street, Asheboro, NC 27205 | 2006-05-23 |
1487120614 | Dallas Welborn Hurley | Nurse Practitioner | 2222 S Fayetteville St Ste B, Asheboro, NC 27205 | 2018-10-15 |
1225522592 | Ashley Humble Wilson | Nurse Practitioner | 300 Mack Rd, Suite B, Ashbeoro, NC 27205 | 2018-06-19 |
1134356819 | Monarch | Community/Behavioral Health | 837 Oakwood Acres Rd, Asheboro, NC 27205-0910 | 2009-06-19 |
1457644791 | Jakia Danielle Marshall | Counselor | 987 Redwood Dr, Asheboro, NC 27205-0926 | 2011-05-19 |
1851836662 | Manashi C-lim Therapy Services, Pllc. | Occupational Therapist | 2168 S Lake Dr, Asheboro, NC 27205-1053 | 2017-01-03 |
Find all providers in zip 27205 |
Taxonomy Code | 320900000X |
Grouping | Residential Treatment Facilities |
Classification | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities |
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. |
Notes: [7/1/2003: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306455126 | A Place 4 Me, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 5305 Clearwater Lake Rd, Mount Holly, NC 28120-1445 | 2020-07-28 |
1922623792 | Our Home At Home LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4601 Waterford Knoll Dr Apt 1724, Charlotte, NC 28226-6015 | 2020-06-08 |
1922634484 | Tracey Holton | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | Easterseals Ucp, 913 Carolina Ave N, Statesville, NC 28677 | 2020-03-17 |
1710443395 | Unity 4 Us Community Outreach | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 406 Lincoln St, Belmont, NC 28012-3045 | 2019-02-19 |
1871059444 | Believing Everyone Succeeds Together | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 323 Shady Grove Rd, Kings Mtn, NC 28086-9671 | 2019-02-19 |
1740744283 | Tri Plex Industries Corp | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 9635 Southern Pine Blvd Ste 154, Charlotte, NC 28273-5564 | 2019-01-29 |
1316415037 | Igr Collaborations | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 212 Pine Ridge Dr, Roanoke Rapids, NC 27870-6832 | 2018-11-12 |
1164924940 | David Douglas Whitfield | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 5342 Us Highway 301 North, Micro, NC 27555 | 2018-03-07 |
1710489976 | Moravian Enterprises, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 122 North Elm St., Suite 810, Greensboro, NC 27401 | 2018-03-05 |
1659897833 | Shelby Day Program | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 621 S Dekalb St Ste A, Shelby, NC 28150-6189 | 2017-08-18 |
Find all providers with the same taxonomy |
Please comment or provide details below to improve the information on WESCARE PROFESSIONAL SERVICES, LLC..
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.