WELLSPRING HOME HEALTH CENTER, LLC (NPI# 1801429733) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801429733 |
| Entity Type | Organization |
| Organization Name | WELLSPRING HOME HEALTH CENTER, LLC |
| Practice Address |
8815 S. Tacoma Way Suite 120 Lakewood WA 98499 |
| Mailing Address |
P.o. Box 33064 Tacoma WA 98433 |
| Practice Telephone | 2536257606 |
| Practice Fax Number | 2536257079 |
| Mailing Telephone | 2536257606 |
| Mailing Fax Number | 2536257079 |
| Enumeration Date | 2020-02-19 |
| Last Update Date | 2020-02-19 |
| Authorized Official Name | MR. ERNEST IBANGA SR. (PRESIDENT) |
| Authorized Official Telephone | 7068339917 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | Agencies |
| Other Name | Type Code |
|---|---|
| Wellspring Home Health Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023493269 | Wellspring Home Health Center, LLC | Home Health | 201 E. Swanson Avenue, Suite 7, Wasilla, AK 99654 | 2015-07-29 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | WELLSPRING HOME HEALTH CENTER, LLC | 8815 South Tacoma Way Ste 120, Lakewood, WA 98499-7011 |
| Street Address |
8815 S. TACOMA WAY SUITE 120 |
| City | LAKEWOOD |
| State | WA |
| Zip Code | 98499 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578077657 | Andrea Gaston | Behavior Technician | 8815 S. Tacoma Way, Suite 122, Lakewood, WA 98499 | 2017-11-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275159592 | Sea Mar Community Health Centers | Clinic/Center | 5700 100th Street Se, Suite 510, Lakewood, WA 98499 | 2020-06-23 |
| 1568018828 | Heather Leigh Andrade | Behavioral Analyst | 6210 75th St W Ste 100, Lakewood, WA 98499 | 2019-08-13 |
| 1043870876 | Seoul Chinese Herbs Inc | Acupuncturist | 8705 S. Tacoma Way, Lakewood, WA 98499 | 2019-06-14 |
| 1013572064 | Puget Sound Kidney Centers | Clinic/Center | 11950 47th Ave Sw, Lakewood, WA 98499 | 2019-05-06 |
| 1447736657 | Marcela Cunan | Counselor | 9330 59th Avenue Southest, Lakewood, WA 98499 | 2018-07-11 |
| 1609382381 | Leroy Moore IIi | Counselor | 8811 S. Tacoma Way, 106, Lakewood, WA 98499 | 2017-12-18 |
| 1609389931 | Jennifer King | Social Worker | 5900 100th St Sw Ste 17b, Lakewood, WA 98499 | 2017-11-08 |
| 1750806337 | Wonyoung Lee | Counselor | 8811 South Tacoma Way, Suite 106, Lakewood, WA 98499 | 2017-08-04 |
| 1043749443 | Frederick Paltron Edwards | Counselor | 9500 Front Street, Suite 100, Lakewood, WA 98499 | 2017-06-08 |
| 1326402025 | Gabrielle T Folino | Counselor | 10116 36 Ave. Ct. Sw, Lakewood, WA 98499 | 2016-04-08 |
| Find all providers in zip 98499 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
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| 1114567542 | 1st Voyager Home Care of Denver LLC | Home Health | 1075 S Yukon St Ste 200, Lakewood, CO 80226-4354 | 2020-01-14 |
| 1982243481 | Kids Overcoming, LLC | Home Health | 44 Union Blvd Ste 125, Lakewood, CO 80228-1856 | 2019-12-31 |
| 1720622244 | Jmo & Dsl, LLC. | Home Health | 13702 Detroit Ave, Lakewood, OH 44107-4620 | 2019-10-29 |
| 1033752233 | Great Care Company | Home Health | 12792 W Alameda Pkwy Ste F, Lakewood, CO 80228-2846 | 2019-10-21 |
| 1902447832 | Prestige Home Care LLC | Home Health | 357 Bergen Ave, Lakewood, NJ 08701-3523 | 2019-10-02 |
| 1316504707 | Vanessa E Alcaraz | Home Health | 7470 W Warren Cir Apt 5216, Lakewood, CO 80227-2809 | 2019-05-21 |
| 1699235978 | Nora Home Care LLC | Home Health | 200 Clifton Ave, Lakewood, NJ 08701-3389 | 2019-03-22 |
| 1760999346 | Jazzmine Vasquez | Home Health | 6026 Castana Ave, Lakewood, CA 90712-1018 | 2018-01-05 |
| 1609387075 | Robin Johnson | Home Health | 2141 Dowd Ave, Lakewood, OH 44107-5203 | 2017-10-12 |
| Find all providers in LAKEWOOD | ||||
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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.