Provider Demographics
NPI:1518297894
Name:WE CARE COMMUNITY INC
Entity Type:Organization
Organization Name:WE CARE COMMUNITY INC
Other - Org Name:WE CARE HOMEMAKER SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO/ OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:OZIE
Authorized Official - Middle Name:D
Authorized Official - Last Name:PHIPPS
Authorized Official - Suffix:
Authorized Official - Credentials:BS IN EDUCATION
Authorized Official - Phone:662-382-8883
Mailing Address - Street 1:PO BOX 72
Mailing Address - Street 2:
Mailing Address - City:SLEDGE
Mailing Address - State:MS
Mailing Address - Zip Code:38670-0072
Mailing Address - Country:US
Mailing Address - Phone:662-382-8883
Mailing Address - Fax:662-382-7776
Practice Address - Street 1:612 BROAD STREET CRENSHAW MS 38621
Practice Address - Street 2:612 BROAD STREET CRENSHAW MS 38621
Practice Address - City:CRENSHAW
Practice Address - State:MS
Practice Address - Zip Code:38621
Practice Address - Country:US
Practice Address - Phone:662-382-8883
Practice Address - Fax:662-382-7776
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-01-08
Last Update Date:2010-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS05323253253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS05323253Medicaid