WESCARE PROFESSIONAL SERVICES, LLC. (NPI# 1669810560) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669810560 |
| Entity Type | Organization |
| Organization Name | WESCARE PROFESSIONAL SERVICES, LLC. |
| Practice Address |
221 Bedford Dr Eden NC 27288-2205 |
| Mailing Address |
10 Oak Branch Dr Ste A Greensboro NC 27407-2995 |
| Practice Telephone | 3366239116 |
| Mailing Telephone | 3362728335 |
| Mailing Fax Number | 3362728339 |
| Enumeration Date | 2013-06-13 |
| Last Update Date | 2016-03-04 |
| Authorized Official Name | MR. ERIC M. PAGE (OPERATIONS MANAGER) |
| Authorized Official Telephone | 3362728335 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | MHL-079-078 | NC | Residential Treatment Facilities |
| N | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | MHL-079-078 | NC | Residential Treatment Facilities |
| Y | 251S00000X | Community/Behavioral Health | MHL-079-078 | NC | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 6603864 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639674765 | Wescare Professional Services, LLC. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1080 Walden Rd, Asheboro, NC 27205-1544 | 2018-03-29 |
| 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 |
| Street Address |
221 BEDFORD DR |
| City | EDEN |
| State | NC |
| Zip Code | 27288-2205 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639781297 | Bailey Shea Scism | Pharmacist | 103 W Stadium Dr., Eden, NC 27288 | 2020-08-17 |
| 1538640628 | Donnell Corey Brown Jr. | Technician | 519 Orchard Drive, Eden, NC 27288 | 2018-08-27 |
| 1851728182 | Linda Mitchell | Physical Therapy Assistant | 114 E Kings Hwy, Eden, NC 27288 | 2013-10-01 |
| 1033341573 | Central State of The Carolinas, Inc. | Day Training, Developmentally Disabled Services | 229 Cedar St., Eden, NC 27288 | 2009-08-18 |
| 1114186483 | Enrich Cosmetic Center | Internal Medicine | 406 B Thompson St, Eden, NC 27288 | 2008-06-03 |
| 1265630891 | John R. Dabbs Jr. Dc PC | Preferred Provider Organization | 405 Boone Road, Eden, NC 27288 | 2007-07-05 |
| 1235283961 | James Harrison Eggleston | Dentist | 113 West Arbor Lane, Eden, NC 27288 | 2007-01-22 |
| 1962563940 | Barbara Collins Tanner | Nurse Practitioner | 134 North Pierce Street, Morehead High School Student Health Center, Eden, NC 27288 | 2006-12-13 |
| 1285690974 | Robert Maurice Vaughn | Chiropractor | 405 Boone Rd, Eden, NC 27288 | 2006-04-22 |
| 1619930666 | Direct Respiratory Services | Durable Medical Equipment & Medical Supplies | 302a North Pierce Street, Eden, NC 27288 | 2006-04-10 |
| Find all providers in zip 27288 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730728023 | Purpose In Grace Counseling, Pllc | Community/Behavioral Health | 718 Washington St, Eden, NC 27288-6029 | 2020-01-03 |
| 1558791228 | Wescare Professional Services, LLC. | Community/Behavioral Health | 1314 W Fieldcrest Rd, Eden, NC 27288-3828 | 2013-11-18 |
| 1871838409 | Birds Song of North Carolina | Community/Behavioral Health | 220 E Meadow Rd, Suite 5, Eden, NC 27288-3455 | 2012-12-08 |
| 1982728572 | Challenges Group Homes, Inc | Community/Behavioral Health | 511 Highland Park Dr # A, Eden, NC 27288-4936 | 2007-03-19 |
| 1053649095 | Vincent Community Care | Community/Behavioral Health | 1031 Sharpe Ave, Eden, NC 27288 | 2009-12-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174121438 | Curtis Wayne Royal | Community/Behavioral Health | 1407 Groveland Trl, Greensboro, NC 27407-5061 | 2020-10-09 |
| 1578178588 | Emmanuel Homecare, Inc. | Community/Behavioral Health | 12551 Hashanli Pl, Matthews, NC 28105-3401 | 2020-09-15 |
| 1336753284 | Transformation Health Services Inc. | Community/Behavioral Health | 2023 Connonade Dr, Waxhaw, NC 28173-0109 | 2020-09-08 |
| 1053925099 | Essential Pathways Counseling and Consulting, Pllc | Community/Behavioral Health | 5009 Beatties Ford Rd Ste 107-274, Charlotte, NC 28216-2859 | 2020-09-08 |
| 1720692833 | Tgh Phase 2 | Community/Behavioral Health | 1121 Old Concord Rd Ste 14, Salisbury, NC 28146-1473 | 2020-09-04 |
| 1669086948 | October Road, Inc. | Community/Behavioral Health | 1304 Plaza Dr Ste 2312, Burlington, NC 27215-7165 | 2020-09-03 |
| 1225640188 | Flovi of Nc Inc. | Community/Behavioral Health | 1916 Sunset Ave, Rocky Mount, NC 27804-2520 | 2020-08-20 |
| 1275145658 | Next Level Counseling, Pllc | Community/Behavioral Health | Tele-therapy Only, Cary, NC 27511 | 2020-08-18 |
| 1023628872 | Jonathan Mccrary | Community/Behavioral Health | 5745 Bramblegate Rd Unit A, Greensboro, NC 27409-3019 | 2020-08-06 |
| 1841809746 | Ryan's Place, LLC | Community/Behavioral Health | 6000 Fairview Rd Ste 1259, Charlotte, NC 28210-2224 | 2020-07-27 |
| 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.