MEDICARE: WECARE TLC - KENNETH COPELAND MINISTRIES

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	261QM1300X	Multi-Specialty Clinic/Center

General Provider Information

NPI Number	:	1376006395
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WECARE TLC - KENNETH COPELAND MINISTRIES

Provider Business Mailing Address
First Line	:	999 DOUGLAS AVE STE 1119
Second Line	:
City	:	ALTAMONTE SPRINGS
State	:	FL
Zip	:	32714-2062
Country	:	US
Telephone Number	:	407-562-1212
Fax Number	:

Provider Business Practice Location Address
First Line	:	14355 MORRIS DIDO RD
Second Line	:
City	:	NEWARK
State	:	TX
Zip	:	76071-9501
Country	:	US
Telephone Number	:	817-252-3680
Fax Number	:

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

Provider Enumeration Date	:	04/08/2019
Last Update Date	:	11/18/2025

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