Wellsspring LLC

Primary specialty

Assisted Living Facility (Behavioral Disturbances)Taxonomy code 3104A0630X

Legal business name

WELLSSPRING LLC

Practice address

4378 W Federal Way
San Tan Valley, AZ 85144-5375

Phone

(619) 581-7833

NPI assigned

Aug 24, 2023

Organization subpart

No

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

Authorized official

Name

Mr. Bright Owusu Awuah

Title

Owner

Phone

(619) 581-7833

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1692835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692835200000",
    "number": "1982488482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4378 W FEDERAL WAY",
            "city": "SAN TAN VALLEY",
            "state": "AZ",
            "postal_code": "851445375",
            "telephone_number": "619-581-7833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4378 W FEDERAL WAY",
            "city": "SAN TAN VALLEY",
            "state": "AZ",
            "postal_code": "851445375",
            "telephone_number": "619-581-7833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLSSPRING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-24",
        "last_updated": "2023-08-24",
        "certification_date": "2023-08-24",
        "status": "A",
        "authorized_official_last_name": "AWUAH",
        "authorized_official_first_name": "BRIGHT",
        "authorized_official_middle_name": "OWUSU",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "619-581-7833",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3104A0630X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Behavioral Disturbances",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tiana Wang, FNP
• Sarah Wanjohi
• Lindsey Warden, RN
• Grant Weaver, MA, CDP, MAC, LMHC
• Leann Marie Weiss, LMT
• Wema Health Services LLC
• Wema Homes LLC
• CJ Werner
• Caitlin Whitaker, PT, DPT
• Brandi May White

• Assisted Living Facility (Behavioral Disturbances) in San Tan Valley, AZ
• Providers in San Tan Valley, AZ by specialty
• Assisted Living Facility (Behavioral Disturbances) in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2023; 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.