Provider Demographics
NPI:1871760017
Name:WE ELDERLY CARE INC
Entity type:Organization
Organization Name:WE ELDERLY CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:M
Authorized Official - Last Name:KINGSLEY
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:863-676-1120
Mailing Address - Street 1:229 E STUART AVE STE 15
Mailing Address - Street 2:
Mailing Address - City:LAKE WALES
Mailing Address - State:FL
Mailing Address - Zip Code:33853-3700
Mailing Address - Country:US
Mailing Address - Phone:863-676-1120
Mailing Address - Fax:863-676-7291
Practice Address - Street 1:229 E STUART AVE STE 15
Practice Address - Street 2:
Practice Address - City:LAKE WALES
Practice Address - State:FL
Practice Address - Zip Code:33853-3700
Practice Address - Country:US
Practice Address - Phone:863-676-1120
Practice Address - Fax:863-676-7291
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:WE ELDERLY CARE INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-05-15
Last Update Date:2019-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163W00000XNursing Service ProvidersRegistered NurseGroup - Multi-Specialty
No164W00000XNursing Service ProvidersLicensed Practical NurseGroup - Multi-Specialty
No372600000XNursing Service Related ProvidersAdult CompanionGroup - Multi-Specialty
No374U00000XNursing Service Related ProvidersHome Health AideGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL684579700OtherMEDWAIVER