Organization Active NPI

Wellspring Hospice

  • Community Based Hospice Care Agency
  • Woodland Hills, CA
National Provider Identifier
1598164089
Registry record updated Aug 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
WELLSPRING HOSPICE
Practice address
19730 Ventura Blvd Ste 25
Woodland Hills, CA 91364-6301
Phone
(818) 616-3535
Fax
(818) 530-9287
NPI assigned
Aug 20, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2020

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

Authorized official

Name
Mr. Jerrico Reyes
Title
President/Board Member/Administrato
Phone
(818) 616-3535

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X Primary

Addresses

Primary practice location

19730 Ventura Blvd Ste 25
Woodland Hills, CA 91364-6301

Mailing address

19730 Ventura Blvd Ste 25
Woodland Hills, CA 91364-6301
Phone (818) 616-3535

Care Compare: Hospice

Medicare Care Compare
Listed as
Wellspring HospiceCCN 921682
Ownership
For-Profit
Certified
Jun 1, 2017
Medicare certification status
Terminated Voluntary: merger or closure, May 13, 2026From the Provider of Services file

Name & address match This facility record has no NPI; it was connected to this NPI by matching name and address. The facility is not in the current Medicare enrollment files, which can mean its Medicare enrollment has ended (or, for VA and military hospitals, that it does not enroll).

National Provider Directory

National Provider Directory

Locations

19730 Ventura Blvd
Ste 25
Woodland Hills, CA 91364
Phone (818) 616-3535

Practitioners & affiliated clinicians

Affiliated clinicians 1

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

NPI Registry JSON

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

{
    "created_epoch": "1408492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1596585600000",
    "number": "1598164089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19730 VENTURA BLVD STE 25",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913646301",
            "telephone_number": "818-616-3535",
            "fax_number": "818-530-9287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19730 VENTURA BLVD STE 25",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913646301",
            "telephone_number": "818-616-3535",
            "fax_number": "818-530-9287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLSPRING HOSPICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-20",
        "last_updated": "2020-08-05",
        "certification_date": "2020-08-05",
        "status": "A",
        "authorized_official_last_name": "REYES",
        "authorized_official_first_name": "JERRICO",
        "authorized_official_title_or_position": "PRESIDENT/BOARD MEMBER/ADMINISTRATO",
        "authorized_official_telephone_number": "818-616-3535",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodland Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.