MEDICARE: WLM HOSPICE CARE 1, LLC

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	251G00000X	Community Based Hospice Care Agency

General Provider Information

NPI Number	:	1265390025
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WLM HOSPICE CARE 1, LLC

Provider Business Mailing Address
First Line	:	PO BOX 820
Second Line	:
City	:	FAYETTEVILLE
State	:	AR
Zip	:	72702-0820
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4150 BELDEN VILLAGE ST NW STE 602
Second Line	:
City	:	CANTON
State	:	OH
Zip	:	44718-3651
Country	:	US
Telephone Number	:	330-664-9944
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT/CEO
Name	:	WILLIAM MCARDLE
Credential	:
Telephone Number	:	479-263-7987

Provider Enumeration Date	:	01/12/2026
Last Update Date	:	01/12/2026

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