Wellspace Health

LBN: Wellspace Health
Wellspace Health is an health care organization with primary practice located at 11333 Prospect Drive , Martell CA 95645-9998. The organization recently has 9 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Other Service Providers / Contractor, Agencies / Day Training, Developmentally Disabled Services, Agencies / Supports Brokerage, 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 (209) 268-0560, or through Porteus, Alasdair Jonathan via phone (916) 313-8413.

Contact Information

Primary practice address
11333 Prospect Drive Martell CA 95645-9998
Phone: (209) 268-0560
Fax: (209) 214-6946
Website:
Map and Directions
Authorized official contact:
Name: Porteus, Alasdair Jonathan PHD
Phone: (916) 313-8413

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Other Service Providers / Contractor 171W00000X
Agencies / Day Training, Developmentally Disabled Services 251C00000X
Agencies / Supports Brokerage 251X00000X
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X California
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 1225550874
LBN Legal business name Wellspace Health
DBA Doing business as
Authorized official Porteus, Alasdair Jonathan PHD
Entity Organization
Organization subpart 1 Yes
Enumeration date Jul 14th, 2017
Last updated Mar 23rd, 2022 - about 4 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.

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