Provider Demographics
NPI:1659545838
Name:WE CARE, INC. OF MORTON
Entity Type:Organization
Organization Name:WE CARE, INC. OF MORTON
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:A
Authorized Official - Last Name:THOMPSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:309-263-7708
Mailing Address - Street 1:622 W JACKSON ST
Mailing Address - Street 2:
Mailing Address - City:MORTON
Mailing Address - State:IL
Mailing Address - Zip Code:61550-1536
Mailing Address - Country:US
Mailing Address - Phone:309-263-1015
Mailing Address - Fax:309-263-4011
Practice Address - Street 1:622 W JACKSON ST
Practice Address - Street 2:
Practice Address - City:MORTON
Practice Address - State:IL
Practice Address - Zip Code:61550-1536
Practice Address - Country:US
Practice Address - Phone:309-263-1015
Practice Address - Fax:309-263-4011
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-17
Last Update Date:2008-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL=========6155001OtherILLINOIS HFS PAYEE NUMBER