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WELLSPRING FARM LLC NPI 1730346339


NPI Information

NPI: 1730346339
Provider Name: WELLSPRING FARM LLC

Other Name: WELLSPRING FARM LEARNING CENTER

Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization
Address:
42 HILLER RD
ROCHESTER, MA
ZIP 02770
Phone: (508) 763-5896
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WELLSPRING FARM LLC is a community behavioral health in Rochester, MA. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. WELLSPRING FARM LLC NPI is 1730346339. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Wellspring Farm Learning Center.

The provider's business location address is:

42 HILLER RD
ROCHESTER, MA
ZIP 02770
Phone: (508) 763-5896
Fax: (508) 763-5896

The provider's authorized official is James Edward Vogel .
The authorized official title is Founder Executive Director and has the following contact phone number (508) 763-5896.

The enumeration date for this NPI number is 5/21/2008 and was last updated on 5/21/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11041C0700XSocial WorkerClinicalMASSACHUSETTSNo
2163W00000XRegistered NurseMASSACHUSETTSNo
3208000000XPediatricsMASSACHUSETTSNo
4225100000XPhysical TherapistMASSACHUSETTSNo
5225X00000XOccupational TherapistMASSACHUSETTSNo
6235Z00000XSpeech-Language PathologistMASSACHUSETTSNo
7251S00000XCommunity/Behavioral HealthMASSACHUSETTSYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10038463OTHERMASSACHUSETTSCOMMUNITY MEDICAL ALLIANCE
21016266MEDICAIDMASSACHUSETTS
3WWELL001AOTHERMASSACHUSETTSMA DMR AUTISM WAIVER NUMBER
4VCG000188774ADOTHERMASSACHUSETTSMA STATE VENDOR

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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