Provider Demographics
NPI:1083493308
Name:WELCOME MAT HEALTH, INC.
Entity Type:Organization
Organization Name:WELCOME MAT HEALTH, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:CASEY
Authorized Official - Middle Name:PAUL
Authorized Official - Last Name:KAMINSKI
Authorized Official - Suffix:
Authorized Official - Credentials:MBA
Authorized Official - Phone:760-586-2451
Mailing Address - Street 1:935 N BRIDGE ST
Mailing Address - Street 2:
Mailing Address - City:ELKIN
Mailing Address - State:NC
Mailing Address - Zip Code:28621-2403
Mailing Address - Country:US
Mailing Address - Phone:336-619-8081
Mailing Address - Fax:980-220-2229
Practice Address - Street 1:935 N BRIDGE ST
Practice Address - Street 2:
Practice Address - City:ELKIN
Practice Address - State:NC
Practice Address - Zip Code:28621-2403
Practice Address - Country:US
Practice Address - Phone:336-619-8081
Practice Address - Fax:980-220-2229
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-26
Last Update Date:2023-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health