Active NPI
Well-Spring Home Care LLC
- In Home Supportive Care Agency
- Greensboro, NC
National Provider Identifier
1669095014
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryLocations
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.