WELL CHILD INC. (NPI# 1073703591) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073703591 |
| Entity Type | Organization |
| Organization Name | WELL CHILD INC. |
| Practice Address |
2158 Union Ave Ste 100 Memphis TN 38104-4297 |
| Practice Telephone | 9017285858 |
| Practice Fax Number | 9012745858 |
| Mailing Telephone | 9017285858 |
| Mailing Fax Number | 9012745858 |
| Enumeration Date | 2007-07-31 |
| Last Update Date | 2007-07-31 |
| Authorized Official Name | MS. MALLORY I WILBON (NURSE PRACTIONER) |
| Authorized Official Telephone | 9017285858 |
| Is Organization Subpart | Y |
| Parent Organization Name | WELL CHILD INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3140N1450X |
Skilled Nursing Facility Specialization: Nursing Care, Pediatric |
10556 | TN | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 5440184 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790839405 | Well Child Inc. | Nurse Practitioner | 2158 Union Ave, Suite 100, Memphis, TN 38104-4205 | 2007-01-22 |
| Street Address |
2158 UNION AVE STE 100 |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38104-4297 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952900367 | Christy White | Recreation Therapist | 1030 Jefferson Ave (rt117), Memphis, TN 38104 | 2020-10-19 |
| 1821615873 | Altiana Carter | Optometrist | 650 New York St, Memphis, Tn 38104, Memphis, TN 38104 | 2020-06-25 |
| 1952898413 | Family To Family Adult Care Service | Chore Provider | 1331 Union Ave Suite 1028, Mempnis, TN 38104 | 2018-04-19 |
| 1326544800 | Kimberly Vestoria Mcclinton | Nurse Practitioner | 2200 Union Ave 1, Memphis, TN 38104 | 2018-04-03 |
| 1649799339 | Benjamin Duhart Jr. | Pharmacist | 1265 Union Avenue- Methodist University Hospital, Ground Floor Pharmacy Administration, Memphis, TN 38104 | 2017-09-13 |
| 1134644982 | Amy Michelle Wise | Nurse Practitioner | 1325 Eastmoreland Ave Ste 500, Memphis, TN 38104 | 2017-08-13 |
| 1316468572 | Jinger Cathey | Social Worker | 1330 Jefferson Ave, Memphis, TN 38104 | 2017-06-28 |
| 1336669183 | Charma May Kavuncu | Social Worker | 1407 Union Ave Ste 1100, Memphis, TN 38104 | 2017-06-22 |
| 1003345398 | Angelica J Dennis | Nurse Practitioner | 1265 Union, Memphis, TN 38104 | 2017-06-08 |
| 1609302546 | Cheryl Beene | Nurse Practitioner | 1211 Union Ave Ste 475, Memphis, TN 38104 | 2017-05-11 |
| Find all providers in zip 38104 | ||||
| Taxonomy Code | 3140N1450X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| Specialization | Nursing Care, Pediatric |
| A nursing care facility designed and staffed for the provision of nursing care and appropriate educational and habilitative/rehabilitative services to children with multiple, complex or profound disabilities that can not be cared for in a less restrictive environment. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518340041 | Nhc Murfreesboro | Skilled Nursing Facility | 2109 Missionary Way, Murfreesboro, TN 37129-0887 | 2015-07-01 |
| 1780935312 | Scholar Care Collaborative Group, Inc | Skilled Nursing Facility | 5170 Hickory Hollow Pkwy Unit 407, Antioch, TN 37013-3089 | 2012-09-22 |
| 1346599685 | Tennessee Department of Health | Skilled Nursing Facility | 251 Joy Alfrod Way, Carthage, TN 37030 | 2012-08-31 |
| 1093831174 | Healthcare Management, Inc | Skilled Nursing Facility | 765 Mifflin Rd, Jackson, TN 38301-9064 | 2007-03-21 |
Please comment or provide details below to improve the information on WELL CHILD INC..
| 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.