NPIMap

Organization Active NPI

Wellsprings Health LLC

  • Primary Care Clinic/Center
  • Owings Mills, MD
National Provider Identifier
1861143794
Registry record updated Jan 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
WELLSPRINGS HEALTH LLC
Practice address
9534 Mary Geneva LN
Owings Mills, MD 21117-6984
Phone
(646) 872-1822
Fax
(443) 212-1114
NPI assigned
Jan 12, 2022
Last updated
Jan 12, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2022

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

Authorized official

Name
Ifejola OlorunfemiNPI 1568659753
Title
Provider
Phone
(646) 872-1822

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X NU Primary

Addresses

Primary practice location

9534 Mary Geneva LN
Owings Mills, MD 21117-6984

Mailing address

9534 Mary Geneva LN
Owings Mills, MD 21117-6984
Phone (646) 872-1822

National Provider Directory

National Provider Directory
Tax ID family
Wellsprings Health LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in 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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1641945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641945600000",
    "number": "1861143794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9534 MARY GENEVA LN",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211176984",
            "telephone_number": "646-872-1822",
            "fax_number": "443-212-1114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9534 MARY GENEVA LN",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211176984",
            "telephone_number": "646-872-1822",
            "fax_number": "443-212-1114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLSPRINGS HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-12",
        "last_updated": "2022-01-12",
        "certification_date": "2022-01-12",
        "status": "A",
        "authorized_official_last_name": "OLORUNFEMI",
        "authorized_official_first_name": "IFEJOLA",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "646-872-1822"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Owings Mills, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2022; 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.