Provider Demographics
NPI:1043558034
Name:WELLSPRING HOMECARE SERVICES, INC.
Entity Type:Organization
Organization Name:WELLSPRING HOMECARE SERVICES, INC.
Other - Org Name:WELLSPRING HOMECARE SERVICES, INC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CONDASE
Authorized Official - Middle Name:
Authorized Official - Last Name:WEEKES-BEST
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:617-680-5779
Mailing Address - Street 1:10 POST OFFICE SQ
Mailing Address - Street 2:8TH FLOOR
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02109-4603
Mailing Address - Country:US
Mailing Address - Phone:877-331-3553
Mailing Address - Fax:508-587-0861
Practice Address - Street 1:10 POST OFFICE SQ
Practice Address - Street 2:8TH FLOOR
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02109-4603
Practice Address - Country:US
Practice Address - Phone:877-331-3553
Practice Address - Fax:508-587-0861
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-25
Last Update Date:2013-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA8284251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health