WESCARE PROFESSIONAL SERVICES, LLC.


Address: 1716 Hawkcrest Ln, Winston Salem, NC 27127-4869
Phone: 3362728335

WESCARE PROFESSIONAL SERVICES, LLC. (NPI# 1558736066) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1558736066
Entity Type Organization
Organization Name WESCARE PROFESSIONAL SERVICES, LLC.
Practice Address 1716 Hawkcrest Ln
Winston Salem
NC 27127-4869
Mailing Address 10 Oak Branch Dr Ste A
Greensboro
NC 27407-2995
Practice Telephone 3362728335
Mailing Telephone 3362728335
Mailing Fax Number 3362728339
Enumeration Date 2015-12-09
Last Update Date 2016-03-08
Authorized Official Name MR. ERIC M. PAGE (OPERATIONS MANAGER)
Authorized Official Telephone 3362728335
Authorized Official Credential Q
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 320900000X Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities Residential Treatment Facilities

Other Provider Identifier

State Issuer Identifier Type Code
NC 3418297 05

Other Provider IDs and Locations

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
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

Office Location

Street Address 1716 HAWKCREST LN
City WINSTON SALEM
State NC
Zip Code 27127-4869

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1821695164 North Davidson Dialysis Center of Wake Forest University Clinic/Center 295 Millers Creek Drive, Winston Salem, NC 27127 2020-10-08
1326654963 Procare Home Health, LLC Home Health 12133 Nc-150 Suite C, Winston-salem, NC 27127 2020-09-18
1952809576 Lamboy and Rubio Dds Pa Dentist 2563 Peters Creek Pkwy, Winston Salem, NC 27127 2018-01-29
1427403815 Ramona Rorie Griffin Noble Counselor 1348 Westgate Center Drive Suite 202, Winston Salem, NC 27127 2016-05-04
1205295680 Kia Johnson Dentist 2101 Peters Creek Pkwy Ste 16-19, Winston Salem, NC 27127 2016-02-15
1487030060 Llibott Consultorios Medicos- Ws,pllc Clinic/Center 1145 Silas Creek Pkwy, Winston Salem, NC 27127 2015-08-05
1740688266 Bonnie M. Clifton Specialist/Technologist 800 Salisbury Ridge Rd, Winston-salem, NC 27127 2014-12-16
1740606706 Yen T Nguyen Dmd Pllc Dentist 2375 Brewer Road, Winston-salem, NC 27127 2014-03-13
1316254451 Marquis D. Bailey Specialist 200 Alexander Preston Ln, Winston - Salem, NC 27127 2010-09-10
1093991234 Independent Living Group Home, LLC Custodial Care Facility 924 Cloister Dr, Winston Salem, NC 27127 2008-01-17
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Taxonomy Information

Taxonomy Code 320900000X
Grouping Residential Treatment Facilities
Classification Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1548411721 Restorations Behavioral Health Services Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 4625 Craver Woods Ct., Winston Salem, NC 27127-8922 2008-10-06
1215024682 Climbing Jacobs Ladder LLC Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 3401 Healy Dr, Suite-b, Winston Salem, NC 27103-1450 2006-10-06
1932215886 J. L. Redford, Inc. Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 1922 Martin Luther King, Jr. Drive, Winston Salem, NC 27107-1361 2006-08-22
1265758916 Wolfe & Jackson Group Home, Inc. Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 3913 Indiana Ave, Winston Salem, NC 27105-3410 2010-04-20
1013107143 My Sister's Place Community Services, Inc. Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 2925 S Main St, Winston Salem, NC 27127-4006 2007-07-25

Providers in the same taxonomy and state

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
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Competitor

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City WINSTON SALEM
Zip Code 27127

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Dataset Information

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.

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