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Wellsprings Residence LLC

NPI 1275010969ActiveOrganization· Nursing Facility/Intermediate Care Facility· Apopka, FL

Nursing Facility/Intermediate Care Facility in Apopka, Florida, registered in NPPES in July 2018. The authorized official on file is Susan I. Kornegay, JD, MBA, BSN, RN, Authorized Managing Member.

Overview

NPI1275010969
StatusActive
Entity typeOrganization
NPI issuedJul 25, 2018
Last updated in NPPESOct 6, 2022
Certified by providerOct 6, 2022

Specialties and licenses

TaxonomyCodeLicenseState
Nursing Facility/Intermediate Care Facility Primary313M00000X——
Case Management251B00000X——
Home Health251E00000X——
Nursing Care251J00000X——
Community/Behavioral Health251S00000X——
In Home Supportive Care253Z00000X——
Clinic/Center, Adult Day Care261QA0600X——
Clinic/Center, Mental Health (Including Community Mental Health Center)261QM0801X——
Clinic/Center, Adult Mental Health261QM0850X——
Assisted Living Facility310400000X——
Alzheimer Center (Dementia Center)311500000X——
Skilled Nursing Facility314000000X——
Respite Care385H00000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years