NPIMap

Organization Active NPI

Wellington Regional Medical Center LLC

Doing business as Wellington Regional Medical Center

  • General Acute Care Hospital
  • Wellington, FL
National Provider Identifier
1720078702
Registry record updated Jan 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
4159 Issued in FL
Legal business name
WELLINGTON REGIONAL MEDICAL CENTER LLC
Doing business as
Wellington Regional Medical Center
Practice address
10101 W Forest Hill Blvd
Wellington, FL 33414-6103
Phone
(561) 798-8500
NPI assigned
Oct 21, 2005
Last updated
Jan 24, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2022

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

Authorized official

Name
Steve Filton
Title
Cfo, Senior VP
Phone
(610) 768-3300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 4159 FL Primary

Addresses

Primary practice location

10101 W Forest Hill Blvd
Wellington, FL 33414-6103

Mailing address

10101 W Forest Hill Blvd
Wellington, FL 33414-6103
Phone (561) 798-8500

Other identifiers 1

IdentifierTypeStateIssuer
010213000MedicaidFL

Other names 1

  • Wellington Regional Medical Center Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Cobius Healthcare Solutions

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20071228000081 FL Part A Provider - Hospital 3870480981 Practice locations: West Palm Beach, FL; Wellington, FL; City of Westlake, FL
O20180820003394 FL Part B Supplier - Clinic/Group Practice 9335498633 Receives reassigned benefits from 16 practitioners
5 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Atlantis, FL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1720078702. Details of each certification follow.

Hospital certification: CCN 100275

Legal name
WELLINGTON REGIONAL MEDICAL CENTER LLC
Doing business as
WELLINGTON REGIONAL MEDICAL CENTER
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Oct 9, 1986
Last certification
Nov 23, 1992
Beds
235
Ownership / control type
Private (for profit)
Organization structure
LLCProprietary
Incorporated
Nov 16, 1982 in FL
Enrollment address
10101 Forest Hill Blvd
Wellington, FL 33414-6103
Main/Primary Hospital Location
Hospital subgroups
Acute care

Other NPIs on the same Medicare enrollment 5

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Hospital

Medicare Care Compare
Listed as
Wellington Regional Medical CenterCCN 100275 · All quality measures
Overall star rating
2 of 5
Type
Acute Care Hospitals
Ownership
Proprietary
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

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
10D0287176Wellington Regional Medical Center10101 Forest Hill Blvd, Wellington, FL 33414AccreditationJan 2, 2027

National Provider Directory

National Provider Directory
Tax ID family
Wellington Regional Medical Center LLC6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Member organizations 8

Organizations listed as members of this organization in the National Provider Directory.

Locations

10111 Forest Hill Blvd
Rm 111
Wellington, FL 33414
Phone (561) 753-2680

Networks

  • Freedom Health HMO NetworkPlans: Freedom Platinum Rewards Plan Rx (HMO) (H5427-102-000, H5427); Freedom VIP Care (HMO C-SNP) (H5427-070-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-108-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-099-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-107-000, H5427); Freedom Máximo (HMO-POS) (H5427-113-000, H5427); Freedom Savings Plan (HMO) (H5427-052-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-096-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-105-000, H5427); Freedom Medi-Medi Full (HMO D-SNP) (H5427-087-000, H5427)…
  • Optimum HealthCare HMO NetworkPlans: Optimum Diamond Rewards (HMO C-SNP) (H5594-028-000, H5594); Optimum Diamond (HMO C-SNP) (H5594-036-000, H5594); Optimum Diamond Rewards (HMO C-SNP) (H5594-034-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-029-000, H5594); Optimum Platinum Plan (HMO) (H5594-002-000, H5594); Optimum Gold Plus Plan (HMO) (H5594-032-000, H5594); Optimum Diamond Savings COPD (HMO C-SNP) (H5594-031-000, H5594); Optimum Diamond Savings (HMO C-SNP) (H5594-030-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-035-000, H5594)

Ownership & related parties

All disclosed owners & managing parties 12

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
George H Brunner Individual Corporate OfficerAssistant Secretary Jan 1, 2014 100%
Pamela Tahan Individual Contracted Managing EmployeeCeo Mar 11, 2019
Corporate OfficerCeo Mar 11, 2019
Edward Sim Individual Corporate OfficerPresident Acute Care Division Dec 5, 2022 100%
Corporate DirectorPresident Acute Care Division Dec 5, 2022 33.3%
Operational/Managerial ControlPresident Acute Care Division Dec 5, 2022 100%
Katharine M Lyver Individual Corporate OfficerAssistant Treasurer Jan 1, 2024 100%
Matthew D Klein Individual Corporate OfficerSecretary Jan 1, 2010 100%
Corporate DirectorSecretary Jan 1, 2010 33.3%
Steve Filton Individual Corporate OfficerVice President Oct 22, 2007 100%
Corporate DirectorVice President Oct 22, 2007 33.3%
Operational/Managerial ControlVice President Oct 22, 2007 100%
Cheryl K Ramagano Individual Corporate OfficerTreasurer Jan 1, 2014 100%
Jermaine B Bucknor Individual Contracted Managing EmployeeCfo Jun 14, 2021
Corporate OfficerCfo Jun 14, 2021
Universal Health Services Inc Organization, King of Prussia, PA Corporation 5% Or Greater Indirect Ownership Interest Nov 1, 2022 100%
James M Coleman Individual Contracted Managing EmployeeSenior Reimbursement Manager Jan 1, 2014 50%
Uhs of Delaware Inc Organization, King of Prussia, PA Corporation 5% Or Greater Direct Ownership Interest Nov 1, 2022 100%
Operational/Managerial Control Jan 1, 2014 100%
Alan B Miller Individual 5% Or Greater Indirect Ownership InterestChairman of the Board Mar 22, 2023 87%

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Lakewood Ranch Medical CenterBradenton, FL, CCN 100299 Hospital General Partnership Interest (30%) Mar 3, 2004
Manatee Memorial HospitalBradenton, FL, CCN 100035 Hospital 5% Or Greater Direct Ownership Interest (30%)
General Partnership Interest (30%)		 Feb 1, 1995
Feb 1, 1995

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 172

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 172

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 369

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 369

NPI Registry JSON

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

{
    "created_epoch": "1129852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642982400000",
    "number": "1720078702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10101 W FOREST HILL BLVD",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334146103",
            "telephone_number": "561-798-8500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10101 W FOREST HILL BLVD",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334146103",
            "telephone_number": "561-798-8500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLINGTON REGIONAL MEDICAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-21",
        "last_updated": "2022-01-24",
        "certification_date": "2022-01-24",
        "status": "A",
        "authorized_official_last_name": "FILTON",
        "authorized_official_first_name": "STEVE",
        "authorized_official_title_or_position": "CFO, SENIOR VP",
        "authorized_official_telephone_number": "610-768-3300"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "FL",
            "license": "4159",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010213000",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.1068.1",
            "affiliationName": "Cobius Healthcare Solutions",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "2720 Dundee Rd # 302",
            "city": "Northbrook",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600622609",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Wellington Regional Medical Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Wellington Regional Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wellington, FL

Sources for this page

Verify at the official NPI Registry.