MEDICARE: WESTCARE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251S00000X	Community/Behavioral Health Agency	009954-2015	FL

General Provider Information

NPI Number	:	1134593023
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WESTCARE

Provider Business Mailing Address
First Line	:	8607 TENBRIDGE WAY
Second Line	:
City	:	NEW PORT RICHEY
State	:	FL
Zip	:	34654-4694
Country	:	US
Telephone Number	:	201-207-4289
Fax Number	:

Provider Business Practice Location Address
First Line	:	6636 ROWAN RD
Second Line	:
City	:	NEW PORT RICHEY
State	:	FL
Zip	:	34653-2940
Country	:	US
Telephone Number	:	727-846-0757
Fax Number	:

Authorized Official
Title or Position	:	COUNSELOR
Name	:	HEATHER A WOS
Credential	:	CAC
Telephone Number	:	201-207-4289

Provider Enumeration Date	:	11/16/2015
Last Update Date	:	11/16/2015

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Directions to “WESTCARE ” Practice Location

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