WESCARE PROFESSIONAL SERVICES, LLC. (NPI# 1962840900) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962840900 |
| Entity Type | Organization |
| Organization Name | WESCARE PROFESSIONAL SERVICES, LLC. |
| Practice Address |
1309 Gorrell St Greensboro NC 27401-3507 |
| Mailing Address |
2704 N Church St Greensboro NC 27405-3657 |
| Practice Telephone | 3362750057 |
| Enumeration Date | 2013-06-12 |
| Last Update Date | 2015-08-28 |
| Authorized Official Name | MR. ERIC M. 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 | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | MHL-041-752 | NC | Residential Treatment Facilities |
| N | 311ZA0620X |
Custodial Care Facility Specialization: Adult Care Home |
MHL0-41-752 | NC | Nursing & Custodial Care Facilities |
| Y | 251S00000X | Community/Behavioral Health | MHL-041-752 | NC | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 3418297 | 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 |
1309 GORRELL ST |
| City | GREENSBORO |
| State | NC |
| Zip Code | 27401-3507 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639779655 | Warfair Counseling, Consulting, & Supervision, Pllc | Counselor | 301 South Elm Street, Suite 801, Greensboro, NC 27401 | 2020-10-28 |
| 1225636848 | Alma Lucero Diaz | Registered Nurse | 1121 North Church St, Greensboro, NC 27401 | 2020-10-15 |
| 1447865217 | Rebecca Levy | Marriage & Family Therapist | Cone Health Family Medicine 1125 N Church Street, Greensboro, NC 27401 | 2020-09-09 |
| 1346854304 | Rayna's Home Care, LLC | Registered Nurse | 823 North Elm Street, Greensboro, NC 27401 | 2020-09-06 |
| 1316574718 | Garrett Green | Physician Assistant | 1121 N Church St., Greensboro, NC 27401 | 2020-03-25 |
| 1629635685 | Lauren Robinson Byrd | Anesthesiology | 1200 North Church St, Greensboro, NC 27401 | 2019-05-24 |
| 1285103069 | Shannon Marie Childs Meyerhoff | Occupational Therapist | Guilford County Schools Ec, 134 Franklin Blvd, Greensboro, NC 27401 | 2018-11-21 |
| 1194293241 | Ashley Marie Smith | Nurse Practitioner | 1200 North Elm St, Greensboro, NC 27401 | 2018-11-07 |
| 1285117762 | Anastazia Juszczak Gray | Speech-Language Pathologist | 1131 N. Church St, Greensboro, NC 27401 | 2018-09-11 |
| 1619474012 | Jamie Hannah Rose Aldridge | Psychiatry & Neurology | 1121 N Church Street, Greensboro, NC 27401 | 2018-04-11 |
| Find all providers in zip 27401 | ||||
| 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 |
|---|---|---|---|---|
| 1174121438 | Curtis Wayne Royal | Community/Behavioral Health | 1407 Groveland Trl, Greensboro, NC 27407-5061 | 2020-10-09 |
| 1023628872 | Jonathan Mccrary | Community/Behavioral Health | 5745 Bramblegate Rd Unit A, Greensboro, NC 27409-3019 | 2020-08-06 |
| 1801410600 | Ascending Hope Counseling, Pllc | Community/Behavioral Health | 230 Webster Rd Apt B, Greensboro, NC 27406-5861 | 2020-06-08 |
| 1336774249 | Rha Health Services Inc | Community/Behavioral Health | 101 S Elm St Ste 6, Greensboro, NC 27401-2852 | 2020-03-11 |
| 1548811177 | Sunrise Aba & Autism Services, L.l.c | Community/Behavioral Health | 4160 Piedmont Pkwy Ste 205, Greensboro, NC 27410-8174 | 2019-09-25 |
| 1649831470 | Alexander Youth Network | Community/Behavioral Health | 1601 Huffine Mill Rd Bldg C, Greensboro, NC 27405-5509 | 2019-06-24 |
| 1316507551 | Alexander Youth Network | Community/Behavioral Health | 309 Concord St Ste 101&201, Greensboro, NC 27406-3661 | 2019-06-19 |
| 1225598014 | Tinikia Shonta Pettiford | Community/Behavioral Health | 1606 Pinecroft Rd Apt H, Greensboro, NC 27407-3804 | 2019-03-20 |
| 1023580529 | A1 Quality Services | Community/Behavioral Health | 4626 W Market St # 182, Greensboro, NC 27407-2974 | 2018-12-20 |
| 1255808887 | Omniya Satori Miller | Community/Behavioral Health | 3000 Twin Lakes Dr, Greensboro, NC 27407-5709 | 2018-11-01 |
| Find all providers in GREENSBORO | ||||
| City | GREENSBORO |
| Zip Code | 27401 |
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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.