Wellspace Health in Sacramento - Supports Brokerage
Wellspace Health - NPI 1124112933
Wellspace Health is a Supports Brokerage in Sacramento, California. Wellspace Health practices all healthcare services and medical treatments related to Supports Brokerage. The NPI Number for Wellspace Health is 1124112933. The last update date is 2022-03-23.
Wellspace Health's current location address is 1820 J St, Sacramento, California. You can contact this provider via phone number 9167375555 and fax number 9164445620. The mailing address for Wellspace Health is 1820 J St, Sacramento, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Wellspace Health |
|---|---|
| Address | 1820 J St, Sacramento, California |
| Phone Number | 9167375555 |
| Fax Number | 9164445620 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO |
|---|---|
| Authorized Official Name | Porteus Jonathan Alasdair |
| Credentials | PHD |
| Telephone Number | 9167375555 |
NPI Number Detail
| NPI Number | 1124112933 |
|---|---|
| Provider Enumeration Date | 2006-10-03 |
| Last Updated Date | 2022-03-23 |
Provider Mailing Address Detail
| Address | 1820 J St |
|---|---|
| City | Sacramento |
| State | California (CA) |
| Post Code | 958113010 |
| Phone Number | 9167375555 |
| Fax Number | 9164445620 |
Provider's Primary Taxonomy Detail
| Speciality | Supports Brokerage |
|---|---|
| Taxonomy | 251X00000X |
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Definition: A provider of service/function that assists participating individuals to make informed decisions about what will work best for them is consistent with their needs and reflects their individual circumstances. Serving as the agent of the individual, th |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| ZZR11729F | CA | PROVIDER NUMBER | |
| EAP11729F | CA | PROVIDER NUMBER |
Post Comment/ Review Below
What is the Wellspace Health's unique identification number?
The Wellspace Health has been assigned the NPI (National Provider Identifier) Number 1124112933 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you kindly provide the complete physical address where Wellspace Health's facilities are geographically located?
The facilities of Wellspace Health are physically situated at the following location: 1820 J St, Sacramento, CA, 958113010.
What is Wellspace Health's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Wellspace Health is Supports Brokerage, and the taxonomy code that classifies this field of practice is 251X00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1124112933 to Wellspace Health?
The Wellspace Health received its 1124112933 assignment from the Centers for Medicare & Medicaid Services on 2006-10-03.
As of what date was the information regarding Wellspace Health, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Wellspace Health, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2022-03-23.