Provider Demographics
NPI:1245044239
Name:WELLSPRING HEALTH SERVICES (WHS) LLC
Entity type:Organization
Organization Name:WELLSPRING HEALTH SERVICES (WHS) LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:EDWIN
Authorized Official - Middle Name:
Authorized Official - Last Name:IDEHEN
Authorized Official - Suffix:
Authorized Official - Credentials:DHSC
Authorized Official - Phone:781-632-8823
Mailing Address - Street 1:2 BUTTONWOOD DR
Mailing Address - Street 2:
Mailing Address - City:METHUEN
Mailing Address - State:MA
Mailing Address - Zip Code:01844-4006
Mailing Address - Country:US
Mailing Address - Phone:781-632-8823
Mailing Address - Fax:
Practice Address - Street 1:49 BLANCHARD STREET
Practice Address - Street 2:SUITE 205 - 2
Practice Address - City:LAWRENCE
Practice Address - State:MA
Practice Address - Zip Code:01843
Practice Address - Country:US
Practice Address - Phone:781-632-8823
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-03
Last Update Date:2025-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health