Organization Active NPI

Well Spring Retirement Community Inc.

  • Skilled Nursing Facility
  • Greensboro, NC
National Provider Identifier
1992924831
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
NH0546 Issued in NC
Legal business name
WELL SPRING RETIREMENT COMMUNITY INC.
Practice address
4100 Well Spring Dr
Greensboro, NC 27410-8857
Phone
(336) 545-5400
Fax
(336) 545-5411
NPI assigned
Apr 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Stephen Paul Fleming, MBA
Title
Executive Director
Phone
(336) 545-5408

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X NH0546 NC Primary

Addresses

Primary practice location

4100 Well Spring Dr
Greensboro, NC 27410-8857

Mailing address

4100 Well Spring Dr
Greensboro, NC 27410-8857
Phone (336) 545-5400

Other identifiers 1

IdentifierTypeStateIssuer
953536OtherNCNH FACILITY ID

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1177459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1992924831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4100 WELL SPRING DR",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274108857",
            "telephone_number": "336-545-5400",
            "fax_number": "336-545-5411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 WELL SPRING DR",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274108857",
            "telephone_number": "336-545-5400",
            "fax_number": "336-545-5411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELL SPRING RETIREMENT COMMUNITY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FLEMING",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "336-545-5408",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NC",
            "license": "NH0546",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NH FACILITY ID",
            "identifier": "953536",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.