Wellspace Health
LBN: Wellspace Health
Wellspace Health is an health care organization with primary practice located at 1820 J St , Sacramento CA 95811-3010. The organization recently has 11 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Other Service Providers / Contractor, Agencies / Case Management, Agencies / Day Training, Developmentally Disabled Services, Agencies / Supports Brokerage, Ambulatory Health Care Facilities / Clinic/Center, Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder, Suppliers / Home Delivered Meals, Nursing Service Related Providers / Personal Care Attendant, Respite Care Facility / Respite Care. Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) is the primary health care specialty.
Wellspace Health can be contacted via phone (916) 737-5555, or through Porteus, Alasdair Jonathan via phone (916) 737-5555.
Contact Information
Primary practice address
1820 J St
Sacramento CA 95811-3010
Phone: (916) 737-5555
Fax: (916) 444-5620
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Case Manager/Care Coordinator | 171M00000X | ||
| Other Service Providers / Contractor | 171W00000X | ||
| Agencies / Case Management | 251B00000X | ||
| Agencies / Day Training, Developmentally Disabled Services | 251C00000X | ||
| Agencies / Supports Brokerage | 251X00000X | ||
| Ambulatory Health Care Facilities / Clinic/Center | 261Q00000X | 030000139 | California |
| Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) | 261QF0400X | ||
| Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder | 261QR0405X | ||
| Suppliers / Home Delivered Meals | 332U00000X | ||
| Nursing Service Related Providers / Personal Care Attendant | 3747P1801X | ||
| Respite Care Facility / Respite Care | 385H00000X |
Profile Details
| NPI number | 1124112933 |
|---|---|
| LBN Legal business name | Wellspace Health |
| DBA Doing business as | |
| Authorized official | Porteus, Alasdair Jonathan PHD |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 3rd, 2006 |
| Last updated | Mar 23rd, 2022 - about 2 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1124112933 | NPPES |
| California | Other | ZZR11729F | PROVIDER NUMBER |
| California | Other | EAP11729F | PROVIDER NUMBER |
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