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WELL-CARE CORP
NPI 1952853061
Nurse Practitioner - Family in Woodbridge, VA

Active since October 25, 2016CLIA 49D2126672 · Waiver
4215 DALE BLVD, WOODBRIDGE, VA 22193(571) 594-9110(571) 526-5509 Get Directions Write a Review

NPPES record last updated: October 25, 2016. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Well-care Corp NPPES

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

WELL-CARE CORP (NPI 1952853061) is a healthcare organization registered as a family in Woodbridge, Virginia and active in the NPI registry since October 2016. The organization holds a CLIA Waiver certificate valid through March 1, 2027 and lists Carlos Fagbenro, Owner, as its authorized official.

NPPES Registry Identity

NPI1952853061
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameWELL-CARE CORP
Location Address4215 DALE BLVDWoodbridge, VA 22193-2243
Mailing Address4215 Dale BlvdWoodbridge, VA 22193-2243 · (571) 594-9110 · Fax (571) 526-5509
Phone(571) 594-9110
Fax(571) 526-5509
Organization SubpartNo
Authorized OfficialCarlos FagbenroOwner · (571) 594-9110
Enumeration DateOctober 25, 2016
✔ NPI 1952853061 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in VA · 0024169586
4215 DALE BLVD, Woodbridge, VA 22193
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 49D2126672

Well-Care Corp · Woodbridge, VA
Active · expires Mar 1, 2027
CLIA Number49D2126672
Laboratory TypeFamily Nurse Practitioner
Certificate Effective DateMarch 2, 2025
Certificate Expiration DateMarch 1, 2027
Laboratory DirectorCarlos Fagbenro
Laboratory Phone(571) 594-9110
Laboratory LocationWell-Care Corp13885 Hedgewood Drive Unit 237 Bldg 2, Woodbridge, VA 22193
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TDS HEALTH
Pharmacy (Community/Retail Pharmacy)
4215 DALE BLVD
WOODBRIDGE, VA 22193
Prince William County (703) 457-1049
TDS HEALTH
Psychologist (Intellectual and Developmental Disabilities)
4215 DALE BLVD
WOODBRIDGE, VA 22193
Prince William County (703) 457-1049
DR. STELLA N KINTU PHARM.D
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
4215 DALE BLVD, TDS HEALTH
WOODBRIDGE, VA 22193
Prince William County (703) 897-1837
ALL IN ALL HOME CARE, LLC
Home Health
4215 DALE BLVD
WOODBRIDGE, VA 22193
Prince William County (240) 426-8629
TDS HEALTH HOME CARE LLC
Home Health
4215 DALE BLVD
WOODBRIDGE, VA 22193
Prince William County (703) 398-8525

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 Well-Care Corp's NPI number?

The NPI number for Well-Care Corp is 1952853061. It was assigned to this organization in the NPPES registry on October 25, 2016.

Where is Well-Care Corp located?

Well-Care Corp is located at 4215 Dale Blvd, Woodbridge, VA 22193. The listed phone number is (571) 594-9110.

What is Well-Care Corp's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Does Well-Care Corp hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 49D2126672) is associated with this NPI, valid through March 1, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Well-Care Corp was last updated on October 25, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.