Organization Active NPI

Wellspring Case Management Inc

  • Case Management Registered Nurse
  • Plymouth, MI
National Provider Identifier
1649947110
Registry record updated Aug 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management Registered NurseTaxonomy code 163WC0400X
Legal business name
WELLSPRING CASE MANAGEMENT INC
Practice address
42245 Ann Arbor Rd E Ste 103
Plymouth, MI 48170-4311
Phone
(734) 453-1743
NPI assigned
Aug 24, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2021

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

Authorized official

Name
Joyce Mauk, BA BSN RN CNLCP
Title
President/Owner
Phone
(734) 453-1743

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Registered NurseGroup: 193400000X SINGLE SPECIALTY GROUP 163WC0400X Primary

Addresses

Primary practice location

42245 Ann Arbor Rd E Ste 103
Plymouth, MI 48170-4311

Mailing address

PO Box 5576
Plymouth, MI 48170-5576
Phone (734) 453-1743

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address autumn.lintz@wellspringcasemanagement.com

National Provider Directory

National Provider Directory

Locations

42245 Ann Arbor Rd E
Ste 103
Plymouth, MI 48170
Phone (734) 453-1743

NPI Registry JSON

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

{
    "created_epoch": "1629763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629763200000",
    "number": "1649947110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5576",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481705576",
            "telephone_number": "734-453-1743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42245 ANN ARBOR RD E STE 103",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481704311",
            "telephone_number": "734-453-1743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLSPRING CASE MANAGEMENT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-24",
        "last_updated": "2021-08-24",
        "certification_date": "2021-08-24",
        "status": "A",
        "authorized_official_last_name": "MAUK",
        "authorized_official_first_name": "JOYCE",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "734-453-1743",
        "authorized_official_credential": "BA BSN RN CNLCP"
    },
    "taxonomies": [
        {
            "code": "163WC0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "autumn.lintz@wellspringcasemanagement.com",
            "affiliation": "N",
            "address_1": "42245 Ann Arbor Rd E Ste 103",
            "city": "Plymouth",
            "state": "MI",
            "country_code": "US",
            "postal_code": "481704311",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Plymouth, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.