Organization Active NPI

Wellbound of Cherry Hill, LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Cherry Hill, NJ
National Provider Identifier
1790347698
Registry record updated Jan 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
Legal business name
WELLBOUND OF CHERRY HILL, LLC
Practice address
1945 Route 70 E Ste a
Cherry Hill, NJ 08003-2117
Phone
(650) 404-3655
Fax
(650) 625-6007
NPI assigned
Jul 1, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2023

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

Authorized official

Name
Bernadette Vincent
Title
President/Coo
Phone
(650) 404-3600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X Primary

Addresses

Primary practice location

1945 Route 70 E Ste a
Cherry Hill, NJ 08003-2117

Mailing address

300 Santana Row Ste 300
San Jose, CA 95128-2424
Phone (650) 404-3655

Other names 1

  • Satellite WellBound of Cherry Hill Doing business as

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1561939200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674604800000",
    "number": "1790347698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 SANTANA ROW STE 300",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951282424",
            "telephone_number": "650-404-3655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1945 ROUTE 70 E STE A",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080032117",
            "telephone_number": "650-404-3655",
            "fax_number": "650-625-6007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLBOUND OF CHERRY HILL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-01",
        "last_updated": "2023-01-25",
        "certification_date": "2023-01-25",
        "status": "A",
        "authorized_official_last_name": "VINCENT",
        "authorized_official_first_name": "BERNADETTE",
        "authorized_official_title_or_position": "PRESIDENT/COO",
        "authorized_official_telephone_number": "650-404-3600"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Satellite WellBound of Cherry Hill",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Satellite WellBound of Cherry Hill",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cherry Hill, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2023; 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.