NPI Code Details Logo

NPI 1700330404

NPI 1700330404 : WECARE TLC - KNAPHEIDE FAMILY WELLNESS : QUINCY, IL

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1700330404
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    WECARE TLC - KNAPHEIDE FAMILY WELLNESS 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    08/10/2016
-----------------------------------------------------
    Last Update Date     |    11/18/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    331 S 36TH ST 
-----------------------------------------------------
    City                 |    QUINCY
-----------------------------------------------------
    State                |    IL
-----------------------------------------------------
    Zip                  |    62301-5840
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    217-214-0243
-----------------------------------------------------
    Fax                  |    217-214-0244
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    999 DOUGLAS AVE STE 1119 
-----------------------------------------------------
    City                 |    ALTAMONTE SPRINGS
-----------------------------------------------------
    State                |    FL
-----------------------------------------------------
    Zip                  |    32714-2062
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    689-331-8352
-----------------------------------------------------
    Fax                  |    407-804-2971
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    DIRECTOR OF CLINICAL SERVICES
-----------------------------------------------------
    Name                 |     AKILAH L BELLINGER 
-----------------------------------------------------
    Credential           |    RN
-----------------------------------------------------
    Telephone            |    689-331-8352
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    261QP2300X
-----------------------------------------------------
    Taxonomy Name        |    Primary Care Clinic/Center
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.