WELLSPRING HOSPICE (NPI# 1881145910) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881145910 |
| Entity Type | Organization |
| Organization Name | WELLSPRING HOSPICE |
| Practice Address |
19634 Ventura Blvd #217 Tarzana CA 91356-2966 |
| Practice Telephone | 8184159619 |
| Mailing Telephone | 8184159619 |
| Enumeration Date | 2016-10-24 |
| Last Update Date | 2016-10-24 |
| Authorized Official Name | JERRICO LATAYAN REYES (PRESIDENT) |
| Authorized Official Telephone | 8184159619 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251G00000X | Hospice Care, Community Based | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598164089 | Wellspring Hospice | Hospice Care, Community Based | 19730 Ventura Blvd Ste 25, Woodland Hills, CA 91364-6301 | 2014-08-20 |
| 1104255173 | Wellspring Hospice | Hospice Care, Community Based | 14640 Victory Blvd Ste 215, Van Nuys, CA 91411-1623 | 2013-11-11 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | Wellspring Hospice LLC | 7300 Forest Ave, Richmond, Virginia 23226-3735 |
| Street Address |
19634 VENTURA BLVD #217 |
| City | TARZANA |
| State | CA |
| Zip Code | 91356-2966 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831127356 | Aj Barnert | Marriage & Family Therapist | 19634 Ventura Blvd, Suite 303, Tarzana, CA 91356-2966 | 2006-06-30 |
| 1164952727 | Elizabeth Bailey | Marriage & Family Therapist | 19634 Ventura Blvd, Tarzana, CA 91356-2966 | 2017-06-15 |
| 1558807792 | Regina Kilberg | Marriage & Family Therapist | 19634 Ventura Blvd, #212, Tarzana, CA 91356-2966 | 2017-01-11 |
| 1962858175 | Kurt Christiansen | Psychologist | 19634 Ventura Blvd, Suite 303, Tarzana, CA 91356-2966 | 2016-05-05 |
| 1922489525 | Julie A Krimstein | Marriage & Family Therapist | 19634 Ventura Blvd, Suite 212, Tarzana, CA 91356-2966 | 2015-06-09 |
| 1962810275 | Michelle Debus | Marriage & Family Therapist | 19634 Ventura Blvd, Tarzana, CA 91356-2966 | 2014-07-30 |
| 1467877175 | Bennett Ira Goldberg | Marriage & Family Therapist | 19634 Ventura Blvd, Suite 212, Tarzana, CA 91356-2966 | 2014-03-04 |
| 1851716773 | Atiya Lynn Malik | Marriage & Family Therapist | 19634 Ventura Blvd, Suite 206, Tarzana, CA 91356-2966 | 2014-02-28 |
| 1568896132 | Liat Alon | Counselor | 19634 Ventura Blvd, Suite 212, Tarzana, CA 91356-2966 | 2013-08-30 |
| 1326484296 | West Valley Counseling Center | Marriage & Family Therapist | 19634 Ventura Blvd, Suite 212, Tarzana, CA 91356-2966 | 2013-05-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679137293 | Sarah Badreau | Behavior Technician | 5554 Reseda Blv., Tarzana, CA 91356 | 2019-04-29 |
| 1831661966 | Daraie Dental Group Inc | Dentist | 5620 Wilbur Avenue Ste 300, Tarzana, CA 91356 | 2018-12-31 |
| 1982182770 | Blanca Garay | Respiratory Therapist, Registered | 18214 Burbank Blvd Apt 120, Tarzana, CA 91356 | 2018-08-02 |
| 1437659000 | Chloe Kang | Speech-Language Pathologist | 19019 Ventura Blvd., Tarzana, CA 91356 | 2018-02-20 |
| 1114430139 | Avb & Lv Corporation | Home Health | 18340 Ventura Blvd Ste 220, Tarzana, CA 91356 | 2017-11-13 |
| 1881110468 | Samina Qadir | Registered Nurse | 18321 Clark St., Tarzana, CA 91356 | 2017-08-16 |
| 1700306776 | Debbie Rehman Lux | Marriage & Family Therapist | 18370 Burbank Blvd., Suite 211, Tarzana, CA 91356 | 2017-06-21 |
| 1467980631 | Valley Nerological Services, LLC | Radiology | 5260 Wilbur Ave Ste 207, Tarzana, CA 91356 | 2017-05-31 |
| 1669906020 | Evolve Growth Initiatives LLC | Clinic/Center | 5435 Aura Avenue, Tarzana, CA 91356 | 2017-04-12 |
| 1780130088 | Evolve Growth Initiatives, LLC | Clinic/Center | 5358 Vanalden Drive, Tarzana, CA 91356 | 2016-08-28 |
| Find all providers in zip 91356 | ||||
| Taxonomy Code | 251G00000X |
| Grouping | Agencies |
| Classification | Hospice Care, Community Based |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689275430 | Pro-choice Hospice, Inc. | Hospice Care, Community Based | 19634 Ventura Blvd Ste 302, Tarzana, CA 91356-2966 | 2020-11-06 |
| 1558962829 | Astral Hospice and Pallative Care, Inc | Hospice Care, Community Based | 19634 Ventura Blvd Ste 300, Tarzana, CA 91356-2966 | 2020-11-04 |
| 1972104438 | Centinela Hospice Care, Inc. | Hospice Care, Community Based | 19634 Ventura Blvd Ste 219, Tarzana, CA 91356-2966 | 2020-11-02 |
| 1841890522 | Connect Care Hospice, Inc. | Hospice Care, Community Based | 19634 Ventura Blvd Ste 216, Tarzana, CA 91356-2966 | 2020-10-30 |
| 1629678420 | Ease of Mind Hospice Care, Inc. | Hospice Care, Community Based | 19634 Ventura Blvd Ste 220, Tarzana, CA 91356-2966 | 2020-10-30 |
| 1912507997 | Bellevue Hospice Care, Inc. | Hospice Care, Community Based | 19634 Ventura Blvd Ste 217, Tarzana, CA 91356-2948 | 2020-10-28 |
| 1548869134 | Synergy Hospice Care, Inc. | Hospice Care, Community Based | 19634 Ventura Blvd Ste 218, Tarzana, CA 91356-2962 | 2020-10-23 |
| 1457959397 | Loyal Way Hospice and Palliative Care Inc | Hospice Care, Community Based | 19634 Ventura Blvd Ste 209, Tarzana, CA 91356-2973 | 2020-10-13 |
| 1407463763 | Mar Hospice Care | Hospice Care, Community Based | 5530 Corbin Ave Ste 205, Tarzana, CA 91356-7133 | 2020-09-30 |
| 1023625423 | I Know Hospice, Inc. | Hospice Care, Community Based | 18425 Burbank Blvd Ste 401, Tarzana, CA 91356-2806 | 2020-09-29 |
| Find all providers in TARZANA | ||||
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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.