Active NPI
Wellstream Health Services LLC
- Home Health Agency
- San Marcos, TX
National Provider Identifier
1972554152
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 014462
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 09516420-3 | Other | TX | CSHCN |
| 09516420 | Medicaid | TX | |
| 45D0505671 | Other | CLIA | |
| 57893 | Other | TX | MEDICAID DME H |
| 001002300 | Other | TX | MDCP |
Other names 1
- Kindred at Home
National Provider Directory
National Provider DirectoryLocations
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.