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MCTAVISH HOME
NPI 1679975353
Community Based Residential Treatment Facility, Mental Illness in Winston Salem, NC

Active since September 24, 2014
236 MCTAVISH LN, WINSTON SALEM, NC 27103(336) 448-5676(336) 272-8339 Get Directions Write a Review

NPPES record last updated: July 3, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mctavish Home NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MCTAVISH HOME (NPI 1679975353) is a healthcare organization registered as a community based residential treatment facility, mental illness in Winston Salem, North Carolina and active in the NPI registry since September 2014. The organization lists Eric Michael Page, Operations Manager, as its authorized official.

NPPES Registry Identity

NPI1679975353
Entity TypeOrganization
Primary Taxonomy320800000X
Legal Business NameWESCARE PROFESSIONAL SERVICES, LLC.
Location Address236 MCTAVISH LNWinston Salem, NC 27103
Mailing Address10 Oak Branch Dr Ste AGreensboro, NC 27407-2995 · (336) 272-8335 · Fax (336) 272-8339
Phone(336) 448-5676
Fax(336) 272-8339
Organization SubpartNo
Authorized OfficialEric Michael PageOperations Manager · (336) 272-8335
Enumeration DateSeptember 24, 2014
Last NPPES UpdateJuly 3, 2018
✔ NPI 1679975353 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Mental IllnessResidential Treatment Facilities
Taxonomy Code320800000X
License✔ Licensed in NC · MHL-034-329
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X · License MHL-034-329 (NC)
Also ListedResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesTaxonomy 320600000X
236 MCTAVISH LN, Winston Salem, NC 27103
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Other Names 1

Other NameMctavish Home

Other Identifiers 2

OtherMHL-034-329NC · License
Medicaid3418297NC

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Wescare Professional Services, LLC.'s NPI number?

The NPI number for Wescare Professional Services, LLC. is 1679975353. It was assigned to this organization in the NPPES registry on September 24, 2014. The provider is also known as Mctavish Home.

Where is Wescare Professional Services, LLC. located?

Wescare Professional Services, LLC. is located at 236 Mctavish Ln, Winston Salem, NC 27103. The listed phone number is (336) 448-5676.

What is Wescare Professional Services, LLC.'s specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X.

When was this NPI record last updated?

The NPPES record for Wescare Professional Services, LLC. was last updated on July 3, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.