Organization Active NPI

Wellspring Healthcare Limited Liability Company

  • Primary Care Clinic/Center
  • Greenbelt, MD
National Provider Identifier
1265308001
Registry record updated Oct 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
WELLSPRING HEALTHCARE LIMITED LIABILITY COMPANY
Practice address
6301 Ivy LN Ste 515
Greenbelt, MD 20770-1402
Phone
(240) 252-0054
NPI assigned
Oct 16, 2025
Last updated
Oct 16, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2025

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

Authorized official

Name
Vivian Nkechi SoneyeNPI 1124767322
Title
Provider
Phone
(240) 252-0054

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X NU Primary

Addresses

Primary practice location

6301 Ivy LN Ste 515
Greenbelt, MD 20770-1402

Mailing address

6301 Ivy LN Ste 515
Greenbelt, MD 20770-1402
Phone (240) 252-0054

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20250417002739 MD Part B Supplier - Clinic/Group Practice 0143745521 Receives reassigned benefits from 1 practitioner
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Laurel, MD
O20260129001112 DC Part B Supplier - Clinic/Group Practice 0143745521 Receives reassigned benefits from 1 practitioner
Practice locations: Greenbelt, MD

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

6301 Ivy Ln
Ste 515
Greenbelt, MD 20770
Phone (240) 252-0054

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1760572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760572800000",
    "number": "1265308001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6301 IVY LN STE 515",
            "city": "GREENBELT",
            "state": "MD",
            "postal_code": "207701402",
            "telephone_number": "240-252-0054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6301 IVY LN STE 515",
            "city": "GREENBELT",
            "state": "MD",
            "postal_code": "207701402",
            "telephone_number": "240-252-0054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLSPRING HEALTHCARE LIMITED LIABILITY COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-16",
        "last_updated": "2025-10-16",
        "certification_date": "2025-10-16",
        "status": "A",
        "authorized_official_last_name": "SONEYE",
        "authorized_official_first_name": "VIVIAN",
        "authorized_official_middle_name": "NKECHI",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "240-252-0054"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenbelt, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.