Wellspring Assisted Living Facility

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL10854 Issued in FL

Legal business name

WELLSPRING ASSISTED LIVING FACILITY

Practice address

37815 15TH Ave
Zephyrhills, FL 33542-3217

Phone

(813) 715-1000

Fax

(813) 425-6925

NPI assigned

Nov 4, 2010

Organization subpart

No

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

Authorized official

Name

Mr. Joseph Wilfred Joseph

Title

MGR/Administrator

Phone

(813) 715-1000

Specialties & licenses 2

Addresses

Other identifiers 1

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

{
    "created_epoch": "1288828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288828800000",
    "number": "1982905097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 280339",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336820339",
            "telephone_number": "813-715-1000",
            "fax_number": "813-425-6925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37815 15TH AVE",
            "city": "ZEPHYRHILLS",
            "state": "FL",
            "postal_code": "335423217",
            "telephone_number": "813-715-1000",
            "fax_number": "813-425-6925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLSPRING ASSISTED LIVING FACILITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-04",
        "last_updated": "2010-11-04",
        "status": "A",
        "authorized_official_last_name": "JOSEPH",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "WILFRED",
        "authorized_official_title_or_position": "MGR/ADMINISTRATOR",
        "authorized_official_telephone_number": "813-715-1000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL10854",
            "primary": true
        },
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": "FL",
            "license": "AL10854",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "142709100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• All providers in Zephyrhills, FL
• Assisted Living Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 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.