OrganizationActive
Wellcare Support Services
NPI 1609656776 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Middletown, NJ
Provider details
- NPI number
- 1609656776
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Patrick Owusu, Managing Director(774) 232-0990
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000X
Residential Treatment Facilities
Profile Score
Established profile(62/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2 Colonial Sq
Middletown, NJ 07748-3548
Phone: (774) 232-0990
Street-level locationGet directions
Mailing address
2 Colonial Sq
Middletown, NJ 07748-3548
Additional practice locations (1)
- 4313 Wells DrParlin, NJ 08859-1305Phone: (774) 232-0990
Registry dates
- Enumerated
- 2023-10-04
- Last updated
- 2023-10-04
- Certified
- 2023-10-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.