OrganizationActive
Wellspring Hospice
NPI 1104255173 · Community Based Hospice Care Agency · Van Nuys, CA
Wellspring Hospice is a Community Based Hospice Care Agency organization in Van Nuys, CA (NPI 1104255173).
Provider details
- NPI number
- 1104255173
- Entity type
- Organization
- Primary specialty
- Community Based Hospice Care AgencyAgencies
- Organization subpart
- No
- Authorized official
- Jerrico Reyes, President(818) 415-9619
Specialties & taxonomies
Agencies
Profile Score
Detailed profile(77/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
14640 Victory Blvd Ste 215
Van Nuys, CA 91411-1623
Phone: (818) 415-9619
Fax: (818) 530-9287
Street-level locationGet directions
Mailing address
14640 Victory Blvd Ste 215
Van Nuys, CA 91411-1623
Registry dates
- Enumerated
- 2013-11-11
- Last updated
- 2013-11-11
Frequently asked questions
- What is Wellspring Hospice's NPI number?
- Wellspring Hospice's National Provider Identifier (NPI) is 1104255173, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Wellspring Hospice?
- Wellspring Hospice is classified in the NPPES registry as Community Based Hospice Care Agency (Agencies).
- Where is Wellspring Hospice located?
- Wellspring Hospice's practice location on file with NPPES is 14640 Victory Blvd Ste 215, Van Nuys, CA 91411-1623.
- What is Wellspring Hospice's phone number?
- The practice phone number listed in the NPPES registry for Wellspring Hospice is (818) 415-9619.
- Who is the authorized official for Wellspring Hospice?
- The authorized official listed on Wellspring Hospice's NPPES record is Jerrico Reyes, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Wellspring Hospice's NPI active?
- Yes — Wellspring Hospice's NPI (1104255173) is active in the NPPES registry as of the last update on 2013-11-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.