Active NPI
Wellspire LLC
- Skilled Nursing Facility
- Johnston, IA
National Provider Identifier
1639637143
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- WELLSPIRE LLC
- Practice address
- 5508 NW 88TH St
Johnston, IA 50131-3005 - Phone
- (515) 271-6789
- NPI assigned
- Mar 5, 2019
- Last updated
- Apr 26, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Nick Harshfield
- Title
- Cfo
- Phone
- (515) 271-6559
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
5508 NW 88TH St
Johnston, IA 50131-3005
Mailing address
5508 NW 88TH St
Johnston, IA 50131-3005
Other practice location 1
1455 Hospital Rd
Silvis, IL 61282-1834
Phone (309) 281-3270
Other practice location 2
1118 11th St
DE Witt, IA 52742-1353
Phone (563) 659-4210
National Provider Directory
National Provider Directory- Tax ID family
- Wellspire LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
Ownership & related parties
Subparts reporting this organization as parent 1
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1551744000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1556236800000",
"number": "1639637143",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5508 NW 88TH ST",
"city": "JOHNSTON",
"state": "IA",
"postal_code": "501313005"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5508 NW 88TH ST",
"city": "JOHNSTON",
"state": "IA",
"postal_code": "501313005",
"telephone_number": "515-271-6789"
}
],
"practiceLocations": [
{
"address_1": "1455 Hospital Rd",
"address_purpose": "LOCATION",
"city": "Silvis",
"state": "IL",
"postal_code": "612821834",
"country_code": "US",
"telephone_number": "309-281-3270",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1118 11th St",
"address_purpose": "LOCATION",
"city": "DE Witt",
"state": "IA",
"postal_code": "527421353",
"country_code": "US",
"telephone_number": "563-659-4210",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "WELLSPIRE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-03-05",
"last_updated": "2019-04-26",
"status": "A",
"authorized_official_last_name": "HARSHFIELD",
"authorized_official_first_name": "NICK",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "515-271-6559"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Johnston, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.