Active NPI
Wellsprings Home Health Care LLC
Doing business as Wellsprings Home Therapy
- Physical Medicine & Rehabilitation Physician
- Mount Washington, MD
National Provider Identifier
1366138018
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- Legal business name
- WELLSPRINGS HOME HEALTH CARE LLC
- Doing business as
- Wellsprings Home Therapy
- Practice address
- 1330 Smith Ave Ste 200
Mount Washington, MD 21209-3878 - Phone
- (410) 907-0622
- Fax
- (667) 239-1001
- NPI assigned
- Apr 14, 2023
- Last updated
- Apr 14, 2023
- Organization subpart
- Yes
- Parent organization
- WELLSPRINGS HOME HEALTH CARE
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michelle Danielle Dennis
- Title
- Owner
- Phone
- (410) 907-0625
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 9
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | NU | ||
| Physical Medicine & Rehabilitation Physician | 208100000X | NU | Primary | |
| Occupational Therapy Assistant | 224Z00000X | NU | ||
| Physical Therapist | 225100000X | NU | ||
| Physical Therapy Assistant | 225200000X | NU | ||
| Occupational Therapist | 225X00000X | NU | ||
| Speech-Language Assistant | 2355S0801X | NU | ||
| Speech-Language Pathologist | 235Z00000X | NU | ||
| Physical Rehabilitation Occupational Therapist | 225XP0019X | NU |
Addresses
Primary practice location
1330 Smith Ave Ste 200
Mount Washington, MD 21209-3878
Mailing address
1340 Smith Ave Ste 200
Mount Washington, MD 21209-3796
Phone (443) 608-9341
Other names 1
- WELLSPRINGS HOME THERAPY
National Provider Directory
National Provider Directory- Tax ID family
- Wellsprings Home Health Care LLC
- Part of
- Wellsprings Home Health Care LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Home Health Registered Nurse
- Baltimore, MD
- NPI 1831744358
Locations
1330 Smith Ave
Ste 200
Mount Washington, MD 21209
Phone (410) 779-1232
1340 Smith Ave
Ste 200
Mount Washington, MD 21209
Phone (410) 779-1314
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Home Health Registered Nurse
- Baltimore, MD
- NPI 1831744358
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.
-
- Registered Nurse
- Baltimore, MD
- NPI 1811581085
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1681430400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1681430400000",
"number": "1366138018",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1340 SMITH AVE STE 200",
"city": "MOUNT WASHINGTON",
"state": "MD",
"postal_code": "212093796",
"telephone_number": "443-608-9341"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1330 SMITH AVE STE 200",
"city": "MOUNT WASHINGTON",
"state": "MD",
"postal_code": "212093878",
"telephone_number": "410-907-0622",
"fax_number": "667-239-1001"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WELLSPRINGS HOME HEALTH CARE LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "WELLSPRINGS HOME HEALTH CARE",
"enumeration_date": "2023-04-14",
"last_updated": "2023-04-14",
"certification_date": "2023-04-14",
"status": "A",
"authorized_official_last_name": "DENNIS",
"authorized_official_first_name": "MICHELLE",
"authorized_official_middle_name": "DANIELLE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "410-907-0625"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "2355S0801X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Speech-Language Assistant",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "225XP0019X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Physical Rehabilitation",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "WELLSPRINGS HOME THERAPY",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Mount Washington, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.