OrganizationActive
Wellsprings Residence LLC
NPI 1275010969 · Nursing Facility/Intermediate Care Facility · Apopka, FL
Provider details
- NPI number
- 1275010969
- Entity type
- Organization
- Primary specialty
- Nursing Facility/Intermediate Care FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Susan Kornegay, Authorized Managing Member(407) 951-0268
Specialties & taxonomies
Nursing & Custodial Care Facilities
- Case Management Agency251B00000X
Agencies
- Home Health Agency251E00000X
Agencies
- Nursing Care Agency251J00000X
Agencies
- Community/Behavioral Health Agency251S00000X
Agencies
- In Home Supportive Care Agency253Z00000X
Agencies
- Adult Day Care Clinic/Center261QA0600X
Ambulatory Health Care Facilities
Practice location
700 E Welch Rd
Apopka, FL 32712-2921
Phone: (407) 880-8020
Fax: (407) 264-8660
Approximate (ZIP-level) locationGet directions
Mailing address
700 E Welch Rd
Apopka, FL 32712-2921
Other names (DBA / former)
- Former legal business name
- Black Ring Capital Investments LLC
Registry dates
- Enumerated
- 2018-07-25
- Last updated
- 2022-10-06
- Certified
- 2022-10-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.