WELLSPRING MEADOWS, INC. (NPI# 1497371264) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497371264 |
| Entity Type | Organization |
| Organization Name | WELLSPRING MEADOWS, INC. |
| Practice Address |
9873 N Buttercup Ln Hayden ID 83835-9715 |
| Practice Telephone | 2087629001 |
| Practice Fax Number | 2087629934 |
| Mailing Telephone | 2087629001 |
| Mailing Fax Number | 2087629934 |
| Enumeration Date | 2020-06-17 |
| Last Update Date | 2020-06-17 |
| Authorized Official Name | KURT R NEELY (ADMINISTRATOR/OWNER) |
| Authorized Official Telephone | 2086250275 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | Nursing Service Providers | ||
| N | 310400000X | Assisted Living Facility | Nursing & Custodial Care Facilities | ||
| N | 347C00000X | Private Vehicle | Transportation Services | ||
| N | 372500000X | Chore Provider | Nursing Service Related Providers | ||
| N | 372600000X | Adult Companion | Nursing Service Related Providers | ||
| N | 3747A0650X |
Technician Specialization: Attendant Care Provider |
Nursing Service Related Providers | ||
| N | 376J00000X | Homemaker | Nursing Service Related Providers | ||
| N | 385H00000X | Respite Care | Respite Care Facility | ||
| Y | 3747P1801X |
Technician Specialization: Personal Care Attendant |
Nursing Service Related Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | M8077656 | 05 | |
| ID | M8077682 | 05 | |
| ID | M8072002 | 05 |
| Other Name | Type Code |
|---|---|
| Wellspring Meadows Assisted Living and In-Home Care | Doing Business As Name - Organization |
| Street Address |
9873 N BUTTERCUP LN |
| City | HAYDEN |
| State | ID |
| Zip Code | 83835-9715 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881212371 | Ngan T Nguyen | Pharmacist | 161 E. Prairie Shopping Center, Hayden, ID 83835 | 2020-07-10 |
| 1689158461 | Rskiom, Pllc | Electrodiagnostic Medicine | 9323 N Government Way #6, Hayden, ID 83835 | 2018-09-18 |
| 1235616913 | Kimberly Jill Young | Dietitian, Registered | 8500 N. Atlas Rd., Hayden, ID 83835 | 2018-07-25 |
| 1851894380 | Medicine Man North Pharmacy Inc | Pharmacy | 30585 N Roberts Rd, Hayden, ID 83835 | 2018-03-11 |
| 1366997322 | Jennifer Amber Belmont | Social Worker | 8680 N Wayne Dr, Suite A, Hayden, ID 83835 | 2016-08-19 |
| 1548637994 | Dance Dentistry Pllc | Clinic/Center | 1027 W Prairie Ave, Hayden, ID 83835 | 2015-09-01 |
| 1982012498 | Dallin J. Dance | Dentist | 1027 W. Prairie Ave., Hayden, ID 83835 | 2014-07-28 |
| 1669808614 | Integrated Interventions LLC | Clinic/Center | 2482 E. Glacier Rd., Hayden Lake, ID 83835 | 2013-09-23 |
| 1669812301 | Caleb Jerome Foss | Physical Therapist | 8382 N Wayne Dr Ste 100, Hayden, ID 83835 | 2013-06-26 |
| 1437493798 | Joseph Neal Tessendorf | Chiropractor | 1401 Biztown Loop, Hayden, ID 83835 | 2012-11-26 |
| Find all providers in zip 83835 | ||||
| Taxonomy Code | 3747P1801X |
| Grouping | Nursing Service Related Providers |
| Classification | Technician |
| Specialization | Personal Care Attendant |
| An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards |
| Notes: [7/1/2003: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578856720 | Chris Menchaca | Technician | 2309 W Sonoma Ct, Meridian, ID 83642-4359 | 2011-05-20 |
| 1174797971 | Pamela K. Ziegenfuss | Technician | 12378 W Delmar St, Boise, ID 83713-5849 | 2008-04-14 |
| 1114101466 | Ronald John Seiler | Technician | 413 S Monroe St, Moscow, ID 83843-3337 | 2007-12-21 |
| 1538357629 | Yelizaveta Agiy | Technician | 1883 W Wapoot Dr, Meridian, ID 83646-2755 | 2007-10-15 |
| 1871639112 | Melinda Lou Mulkey | Technician | 22568 Hoskins Rd, Wilder, ID 83676-5828 | 2007-01-30 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.