Organization Active NPI

Wellstream Health Services LLC

  • Home Health Agency
  • San Marcos, TX
National Provider Identifier
1972554152
Registry record updated May 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
014462 Issued in TX
Legal business name
WELLSTREAM HEALTH SERVICES LLC
Practice address
1920 Corporate Dr
Suite a-108
San Marcos, TX 78666-6283
Phone
(512) 392-0157
Fax
(512) 392-0611
NPI assigned
May 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2016

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

Authorized official

Name
Ms. Ruth C. Schwartz
Title
Assistant Secretary
Phone
(913) 814-2288

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 014462 TX Primary

Addresses

Primary practice location

1920 Corporate Dr
Suite a-108
San Marcos, TX 78666-6283

Mailing address

12900 Foster St
Suite 400
Overland Park, KS 66213-2704

Other identifiers 5

IdentifierTypeStateIssuer
09516420-3OtherTXCSHCN
09516420MedicaidTX
45D0505671OtherCLIA
57893OtherTXMEDICAID DME H
001002300OtherTXMDCP

Other names 1

  • Kindred at Home Doing business as

National Provider Directory

National Provider Directory

Locations

505 E Huntland Dr
Ste 550
Austin, TX 78752

3101 Courtney Ln
Ste A
Killeen, TX 76542
Phone (254) 953-1334

1920 Corporate Dr
Ste A108
San Marcos, TX 78666
Phone (512) 392-0157

2810 Oakdale Dr
Temple, TX 76502
Phone (254) 773-2342

NPI Registry JSON

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

{
    "created_epoch": "1147478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463356800000",
    "number": "1972554152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12900 FOSTER ST",
            "address_2": "SUITE 400",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662132704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1920 CORPORATE DR",
            "address_2": "SUITE A-108",
            "city": "SAN MARCOS",
            "state": "TX",
            "postal_code": "786666283",
            "telephone_number": "512-392-0157",
            "fax_number": "512-392-0611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLSTREAM HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-13",
        "last_updated": "2016-05-16",
        "status": "A",
        "authorized_official_last_name": "SCHWARTZ",
        "authorized_official_first_name": "RUTH",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "ASSISTANT SECRETARY",
        "authorized_official_telephone_number": "913-814-2288",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "014462",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CSHCN",
            "identifier": "09516420-3",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "09516420",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "45D0505671",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID DME H",
            "identifier": "57893",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MDCP",
            "identifier": "001002300",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kindred at Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Marcos, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 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.