WESCARE PROFESSIONAL SERVICES LLC. NPI 1336587344

NPI Information

  • NPI: 1336587344
  • Provider Name: WESCARE PROFESSIONAL SERVICES, LLC.
  • Classification: Community/Behavioral Health - 251S00000X
  • Entity Type: Organization
  • CLIA Number: 34D2063295
  • Address: 816 CLARKWAY AVE
    EDEN, NC
    ZIP 27288
  • Phone: (336) 623-0679

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NPI Details

WESCARE PROFESSIONAL SERVICES, LLC. is a community behavioral health in Eden, NC. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, 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. WESCARE PROFESSIONAL SERVICES, LLC. NPI is 1336587344. The provider is registered as an organization entity type.

The provider's business location address is:

816 CLARKWAY AVE
EDEN, NC
ZIP 27288-416
Phone: (336) 623-0679

The provider's authorized official is Eric M. Page .
The authorized official title is Operations Manager and has the following contact phone number (336) 272-8335.

The CLIA number assigned to this NPI record is 34D2063295 - other - group home with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/12/2013 and was last updated on 8/28/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1320900000XCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesMHL-079-074NORTH CAROLINANo
2251S00000XCommunity/Behavioral HealthMHL-079-074NORTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
13418297MEDICAIDNORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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