Wellspace Health
Wellspace Health provides Case Manager/Care Coordinator services in Martell, California. Licensed in California. Registered with an NPI since 2017.
- Licensed in
- CA
- In the registry since
- 2017
- Specialties on file
- 9
Practice location Address checks out
11333 Prospect DrMartell, CA 95645-9998
Phone: (209) 268-0560
Fax: (209) 214-6946
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Federally Qualified Health Center (FQHC) (primary) | Taxonomy 261QF0400X (CA) |
|---|---|
| Case Manager/Care Coordinator | Taxonomy 171M00000X |
| Contractor | Taxonomy 171W00000X |
| Developmentally Disabled Services Day Training Agency | Taxonomy 251C00000X |
| Supports Brokerage Agency | Taxonomy 251X00000X |
| Substance Use Disorder Rehabilitation Clinic/Center | Taxonomy 261QR0405X |
| Home Delivered Meals | Taxonomy 332U00000X |
| Personal Care Attendant | Taxonomy 3747P1801X |
| Respite Care | Taxonomy 385H00000X |
Record details
| NPI number | 1225550874 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | Wellspace Health |
| Authorized official | Alasdair Porteus — Chief Executive Officer · (916) 313-8413 |
| NPI enumerated | July 14, 2017 |
| Last updated in NPPES | March 23, 2022 |
| Certification date | March 23, 2022 |
| Mailing address | 777 12th St Ste 250, Sacramento, CA 95814-1929 |