NPIMap

Organization Active NPI

Wellspring Healthcare Services, Inc.

  • Community/Behavioral Health Agency
  • North Hills, CA
National Provider Identifier
1891939005
Registry record updated Feb 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
WELLSPRING HEALTHCARE SERVICES, INC.
Practice address
16713 Roscoe Blvd
North Hills, CA 91343-6110
Phone
(800) 418-9319
Fax
(800) 861-3759
NPI assigned
May 1, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2010

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

Authorized official

Name
Leo Landaverde
Title
President
Phone
(800) 418-9319

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X
Community/Behavioral Health Agency 251S00000X Primary
Early Intervention Provider Agency 252Y00000X

Addresses

Primary practice location

16713 Roscoe Blvd
North Hills, CA 91343-6110

Mailing address

16713 Roscoe Blvd
North Hills, CA 91343-6110
Phone (800) 418-9319

National Provider Directory

National Provider Directory

Locations

16713 Roscoe Blvd
North Hills, CA 91343
Phone (800) 418-9319

Practitioners & affiliated clinicians

Practitioners 6

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": "1241136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265068800000",
    "number": "1891939005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16713 ROSCOE BLVD",
            "city": "NORTH HILLS",
            "state": "CA",
            "postal_code": "913436110",
            "telephone_number": "800-418-9319",
            "fax_number": "800-861-3759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16713 ROSCOE BLVD",
            "city": "NORTH HILLS",
            "state": "CA",
            "postal_code": "913436110",
            "telephone_number": "800-418-9319",
            "fax_number": "800-861-3759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLSPRING HEALTHCARE SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-01",
        "last_updated": "2010-02-02",
        "status": "A",
        "authorized_official_last_name": "LANDAVERDE",
        "authorized_official_first_name": "LEO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "800-418-9319"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2010; 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.