Springboard Care Services, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

HC1627 Issued in NC

Legal business name

SPRINGBOARD CARE SERVICES, INC.

Practice address

2200 Silas Creek Pkwy
Suite 3-a
Winston-Salem, NC 27103-5000

Phone

(336) 724-1565

Fax

(336) 724-5245

NPI assigned

May 18, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Wanda Jean Mason, QP,BS

Title

QP/Mr/DD

Phone

(336) 724-1565

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1831142041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 SILAS CREEK PKWY",
            "address_2": "SUITE 3-A",
            "city": "WINSTON-SALEM",
            "state": "NC",
            "postal_code": "271035000",
            "telephone_number": "336-724-1565",
            "fax_number": "336-724-5245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 SILAS CREEK PKWY",
            "address_2": "SUITE 3-A",
            "city": "WINSTON-SALEM",
            "state": "NC",
            "postal_code": "271035000",
            "telephone_number": "336-724-1565",
            "fax_number": "336-724-5245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPRINGBOARD CARE SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MASON",
        "authorized_official_first_name": "WANDA",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "QP/MR/DD",
        "authorized_official_telephone_number": "336-724-1565",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "QP,BS"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NC",
            "license": "HC1627",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3408926",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "66000689",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8301484B",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David Spivey, MD
• Christopher Nils Spongberg, M.D.
• Elizabeth Spoon, PT
• Hannah Spotts
• David Hugh Sprague, MD
• Keisha Denee Springs, MS, LCASA
• Springwell Network, Inc.
• Springwell Network, Inc.
• Springwell Network, Inc.
• Springwell Network, Inc.

• Home Health Agency in Winston-Salem, NC
• Providers in Winston-Salem, NC by specialty
• Home Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.