Wellspring Healthcare Services, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

1010879 Issued in IL

Legal business name

WELLSPRING HEALTHCARE SERVICES, INC.

Practice address

3590 Hobson Rd Ste 404
Woodridge, IL 60517-1492

Phone

(630) 968-7777

Fax

(630) 968-7770

NPI assigned

Aug 9, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Richard D Shroyer, MBA

Title

Administrator

Phone

(630) 968-7777

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Home health agency certification: CCN 148027

Legal name

WELLSPRING HEALTHCARE SERVICES, INC.

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Jan 28, 2009

Last certification

Dec 31, 2020

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Incorporated

Apr 13, 2007 in IL

Enrollment address

3590 Hobson Rd
Ste 404
Woodridge, IL 60517-1492
HHA Branch

Listed as

Wellspring Healthcare Services, IncCCN 148027 · All quality measures

Overall star rating

2 of 5

Ownership

Proprietary

Certified

Jan 28, 2009

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Affiliated clinicians 4

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Sana Atcha, FNP-BC

  • Family Nurse Practitioner
  • Bloomingdale, IL
  • NPI 1770083784

  Home health agency

  Care Compare affiliation
• Aurora A Atienza, M.D.

  • Family Medicine Physician
  • Chicago, IL
  • NPI 1750441465

  Home health agency

  Care Compare affiliation
• Susan L Collman, NP

  • Nurse Practitioner
  • Highland, IL
  • NPI 1558664276

  Home health agency

  Care Compare affiliation
• Anna Litonjua

  • Family Nurse Practitioner
  • Schaumburg, IL
  • NPI 1952126278

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1186617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718755200000",
    "number": "1528259975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3590 HOBSON RD STE 404",
            "city": "WOODRIDGE",
            "state": "IL",
            "postal_code": "605171492",
            "telephone_number": "630-968-7777",
            "fax_number": "630-968-7770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3590 HOBSON RD STE 404",
            "city": "WOODRIDGE",
            "state": "IL",
            "postal_code": "605171492",
            "telephone_number": "630-968-7777",
            "fax_number": "630-968-7770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLSPRING HEALTHCARE SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-09",
        "last_updated": "2024-06-19",
        "certification_date": "2024-06-19",
        "status": "A",
        "authorized_official_last_name": "SHROYER",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "630-968-7777",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "IL",
            "license": "1010879",
            "primary": true
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "IL",
            "license": "3000103",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tiara Wallace
• Debra Walters, LCSW
• Gregory James Weber, DDS
• Jacqueline Weems, BCBA
• Wellness Clinic LTD
• Olimpia W Wesley
• West Regional MRI LTD Partnership (Vision MRI of Woodridge)
• Kathryn Westerkamp, M. ED.
• Western Dupage Obstetrics & Gynecology SC
• Walter J Whang, MD

• Home Health Agency in Woodridge, IL
• Providers in Woodridge, IL by specialty
• Home Health Agency in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.