Organization Active NPI

Well-Spring Home Care LLC

  • In Home Supportive Care Agency
  • Greensboro, NC
National Provider Identifier
1669095014
Registry record updated May 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
WELL-SPRING HOME CARE LLC
Practice address
3859 Battleground Avenue
Suite 301
Greensboro, NC 27410
Phone
(336) 545-5446
Fax
(363) 282-3020
NPI assigned
May 20, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2020

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

Authorized official

Name
Mr. Alva Simpson Cromartie III
Title
Executive Director
Phone
(336) 545-5456

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

3859 Battleground Avenue
Suite 301
Greensboro, NC 27410

Mailing address

4100 Well Spring Drive
Gressnboro, NC 27410
Phone (336) 454-5352

Other names 1

  • Home Care from Well-Spring Solutions Doing business as

National Provider Directory

National Provider Directory

Locations

3859 Battleground Ave
Ste 301
Greensboro, NC 27410
Phone (336) 545-5446

NPI Registry JSON

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

{
    "created_epoch": "1589932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589932800000",
    "number": "1669095014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4100 WELL SPRING DRIVE",
            "city": "GRESSNBORO",
            "state": "NC",
            "postal_code": "27410",
            "telephone_number": "336-454-5352",
            "fax_number": "336-282-3020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3859 BATTLEGROUND AVENUE",
            "address_2": "SUITE 301",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "27410",
            "telephone_number": "336-545-5446",
            "fax_number": "363-282-3020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELL-SPRING HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-20",
        "last_updated": "2020-05-20",
        "certification_date": "2020-05-20",
        "status": "A",
        "authorized_official_last_name": "CROMARTIE",
        "authorized_official_first_name": "ALVA",
        "authorized_official_middle_name": "SIMPSON",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "336-545-5456",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Home Care from Well-Spring Solutions",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Greensboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2020; 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.