Wellbound of Lafayette LLC

Primary specialty

End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X

Legal business name

WELLBOUND OF LAFAYETTE LLC

Doing business as

WellBound of Lafayette

Practice address

2 Executive Dr
Suite B
Lafayette, IN 47905-4878

Phone

(765) 446-1627

Fax

(765) 449-9475

NPI assigned

Jul 16, 2006

Last updated

Dec 29, 2016By the provider in NPPES

Organization subpart

Yes

Parent organization

WELLBOUND LLCAs reported in NPPES

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

Authorized official

Name

Susan L Del Bene

Title

Secretary/Cfo

Phone

(650) 404-3618

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• WellBound of Lafayette Doing business as

Part of

Wellbound LLC

Member of 2

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

• Arnett Clinic, LLC

  • Clinical Medical Laboratory
  • Lafayette, IN
  • NPI 1881655090

  Member Of

  NPD member
• Wellbound of San Jose, LLC

  dba WellBound of San Mateo

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • San Mateo, CA
  • NPI 1023161734

  Member Of

  NPD member

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

{
    "created_epoch": "1153008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482969600000",
    "number": "1972520997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 SANTANA ROW",
            "address_2": "SUITE 300",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951282423",
            "telephone_number": "765-446-1627",
            "fax_number": "650-625-6007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 EXECUTIVE DR",
            "address_2": "SUITE B",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479054878",
            "telephone_number": "765-446-1627",
            "fax_number": "765-449-9475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLBOUND OF LAFAYETTE LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WELLBOUND LLC",
        "enumeration_date": "2006-07-16",
        "last_updated": "2016-12-29",
        "status": "A",
        "authorized_official_last_name": "DEL BENE",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "SECRETARY/CFO",
        "authorized_official_telephone_number": "650-404-3618"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "IN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200843920A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WellBound of Lafayette",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Caroline Weideman, LMHC
• Jonathan Doyle Weil
• Taylor Weishaar, CST
• Norbert Michael Welch, MD
• Valerie B Welch, MD
• Wellpoint Recovery LLC
• Wells Yeager Best Co Inc (Wells Yeager Best Company)
• Wells Yeager Best Co Inc
• Courtenay A Wells, RN, FWP
• Rhonda D Wells, CST

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Lafayette, IN
• Providers in Lafayette, IN by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2016; 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.