Healthcare Provider Details

I. General information

NPI: 1649931759
Provider Name (Legal Business Name): WE CARE MEDICAL CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/02/2022
Last Update Date: 02/02/2026
Certification Date: 02/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 S FOUNTAIN AVE
SPRINGFIELD OH
45502-1207
US

IV. Provider business mailing address

101 S FOUNTAIN AVE
SPRINGFIELD OH
45502-1207
US

V. Phone/Fax

Practice location:
  • Phone: 937-523-0377
  • Fax:
Mailing address:
  • Phone: 937-523-0377
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 7
Primary TaxonomyN
Taxonomy Code374700000X
TaxonomyTechnician
License Number
License Number State

VIII. Authorized Official

Name: MR. KENNETH DEL TYREE
Title or Position: CEO
Credential: EMT, PHLEBOTOMIST
Phone: 937-523-0377