Organization Active NPI

Wells House of California, Inc.

  • Nursing Facility/Intermediate Care Facility
  • Long Beach, CA
National Provider Identifier
1639594625
Registry record updated Feb 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X
Legal business name
WELLS HOUSE OF CALIFORNIA, INC.
Practice address
245 Cherry Ave
Long Beach, CA 90802-3901
Phone
(562) 491-1958
Fax
(562) 491-1937
NPI assigned
Feb 27, 2014
Last updated
Feb 27, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2014

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

Authorized official

Name
Josie Austria Jones, R.N.
Title
President/Administra
Phone
(562) 491-1958

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility/Intermediate Care Facility 313M00000X NU Primary

Addresses

Primary practice location

245 Cherry Ave
Long Beach, CA 90802-3901

Mailing address

245 Cherry Ave
Long Beach, CA 90802-3901
Phone (562) 491-1958

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2076910Wells House of California Inc245 Cherry Ave, Long Beach, CA 90802Certificate of waiverApr 28, 2028

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1393459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393459200000",
    "number": "1639594625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 CHERRY AVE",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908023901",
            "telephone_number": "562-491-1958",
            "fax_number": "562-491-1937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 CHERRY AVE",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908023901",
            "telephone_number": "562-491-1958",
            "fax_number": "562-491-1937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLS HOUSE OF CALIFORNIA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-27",
        "last_updated": "2014-02-27",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "JOSIE",
        "authorized_official_middle_name": "AUSTRIA",
        "authorized_official_title_or_position": "PRESIDENT/ADMINISTRA",
        "authorized_official_telephone_number": "562-491-1958",
        "authorized_official_credential": "R.N."
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2014; 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.