WE CARE WELLNESS CENTER, LLC

Provider Demographics

• NPI: 1184262487
• Name: WE CARE WELLNESS CENTER, LLC
• Entity type: Organization
• Organization Name: WE CARE WELLNESS CENTER, LLC
• Other - Org Name: <UNAVAIL>
• Authorized Official - Title/Position: CEO
• Authorized Official - First Name: ERIC
• Authorized Official - Middle Name: J
• Authorized Official - Last Name: BACKMAN
• Authorized Official - Phone: 208-660-9378
• Mailing Address - Street 1: 827 W PRAIRIE AVE
• Mailing Address - City: HAYDEN
• Mailing Address - State: ID
• Mailing Address - Zip Code: 83835-8459
• Mailing Address - Country: US
• Mailing Address - Phone: 208-967-5608
• Practice Address - Street 1: 827 W PRAIRIE AVE
• Practice Address - City: HAYDEN
• Practice Address - State: ID
• Practice Address - Zip Code: 83835-8459
• Practice Address - Country: US
• Practice Address - Phone: 208-967-5608
• EIN: <UNAVAIL>
• Is Organization Subpart?: No
• Enumeration Date: 2019-12-17
• Last Update Date: 2024-08-06

Provider Taxonomies

Primary?	Code	Type	Classification	Specialization	Group
Yes	261QV0200X	Ambulatory Health Care Facilities	Clinic/Center	VA	Group - Multi-Specialty
No	101YM0800X	Behavioral Health & Social Service Providers	Counselor	Mental Health	Group - Multi-Specialty
No	225100000X	Respiratory, Developmental, Rehabilitative and Restorative Service Providers	Physical Therapist		Group - Multi-Specialty
No	2251C2600X	Respiratory, Developmental, Rehabilitative and Restorative Service Providers	Physical Therapist	Cardiopulmonary	Group - Multi-Specialty
No	2251G0304X	Respiratory, Developmental, Rehabilitative and Restorative Service Providers	Physical Therapist	Geriatrics	Group - Multi-Specialty
No	2251N0400X	Respiratory, Developmental, Rehabilitative and Restorative Service Providers	Physical Therapist	Neurology	Group - Multi-Specialty
No	2251S0007X	Respiratory, Developmental, Rehabilitative and Restorative Service Providers	Physical Therapist	Sports	Group - Multi-Specialty
No	2251X0800X	Respiratory, Developmental, Rehabilitative and Restorative Service Providers	Physical Therapist	Orthopedic	Group - Multi-Specialty
No	225200000X	Respiratory, Developmental, Rehabilitative and Restorative Service Providers	Physical Therapy Assistant		Group - Multi-Specialty
No	225700000X	Respiratory, Developmental, Rehabilitative and Restorative Service Providers	Massage Therapist		Group - Multi-Specialty
No	261QM0801X	Ambulatory Health Care Facilities	Clinic/Center	Mental Health (Including Community Mental Health Center)
No	261QM1300X	Ambulatory Health Care Facilities	Clinic/Center	Multi-Specialty
No	261QP2000X	Ambulatory Health Care Facilities	Clinic/Center	Physical Therapy
No	363LP0808X	Physician Assistants & Advanced Practice Nursing Providers	Nurse Practitioner	Psychiatric/Mental Health	Group - Multi-Specialty
No	363LP2300X	Physician Assistants & Advanced Practice Nursing Providers	Nurse Practitioner	Primary Care	Group - Multi-Specialty