Organization Active NPI

Wellspring Home Care LLC

  • In Home Supportive Care Agency
  • Portland, ME
National Provider Identifier
1144033358
Registry record updated Jan 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
WELLSPRING HOME CARE LLC
Practice address
61 Deering St Apt 4
Portland, ME 04101-7212
Phone
(207) 239-0592
NPI assigned
Jan 30, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ndoli Filbert Fulani
Title
Owner
Phone
(207) 239-0592

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

61 Deering St Apt 4
Portland, ME 04101-7212

Mailing address

61 Deering St Apt 4
Portland, ME 04101-7212

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1738195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738195200000",
    "number": "1144033358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "61 DEERING ST APT 4",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041017212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "61 DEERING ST APT 4",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041017212",
            "telephone_number": "207-239-0592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLSPRING HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-30",
        "last_updated": "2025-01-30",
        "certification_date": "2025-01-30",
        "status": "A",
        "authorized_official_last_name": "FULANI",
        "authorized_official_first_name": "NDOLI",
        "authorized_official_middle_name": "FILBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "207-239-0592"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.