Organization Active NPI

Amelia Operating Realty, LLC

Doing business as Wellsprings at Amelia

  • Skilled Nursing Facility
  • Amelia Court House, VA
National Provider Identifier
1245796341
Registry record updated Feb 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
AMELIA OPERATING REALTY, LLC
Doing business as
Wellsprings at Amelia
Practice address
8830 Virginia St
Amelia Court House, VA 23002-4826
Phone
(804) 561-5611
NPI assigned
Feb 13, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2019

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

Authorized official

Name
Abraham Gutnicki
Title
Manager
Phone
(847) 933-9280

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

8830 Virginia St
Amelia Court House, VA 23002-4826

Mailing address

4711 Golf Rd Ste 200
Skokie, IL 60076-1236
Phone (847) 933-9280

Other names 1

  • Wellsprings at Amelia Doing business as

National Provider Directory

National Provider Directory

Locations

4711 Golf Rd
Ste 200
Skokie, IL 60076

NPI Registry JSON

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

{
    "created_epoch": "1550016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1550016000000",
    "number": "1245796341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4711 GOLF RD STE 200",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600761236",
            "telephone_number": "847-933-9280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8830 VIRGINIA ST",
            "city": "AMELIA COURT HOUSE",
            "state": "VA",
            "postal_code": "230024826",
            "telephone_number": "804-561-5611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMELIA OPERATING REALTY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-13",
        "last_updated": "2019-02-13",
        "status": "A",
        "authorized_official_last_name": "GUTNICKI",
        "authorized_official_first_name": "ABRAHAM",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "847-933-9280"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wellsprings at Amelia",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Amelia Court House, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2019; 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.