# WELLSPRING CAREGIVERS, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1871280081
- **Authorized official:** LETICIA E ATTRAMS N/A (OWNER)
- **Authorized official phone:** (929) 351-4047

## Contact information

- **Practice address:** 17300 RIVER RIDGE BLVD STE 201, WOODBRIDGE, VA 22191-5167
- **Practice address phone:** (571) 466-7844
- **Mailing address:** 17300 RIVER RIDGE BLVD STE 201, WOODBRIDGE, VA 22191-5167
- **Mailing address phone:** (571) 466-7844

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |
| 314000000X | Skilled Nursing Facility | — | NULL | — |
| 372600000X | Adult Companion | — | NULL | — |
| 372600000X | Adult Companion | — | — | — |
| 3747P1801X | Personal Care Attendant | — | NULL | — |
| 3747P1801X | Personal Care Attendant | — | — | — |
| 385H00000X | Respite Care | — | NULL | — |
| 385HR2055X | Child Mental Illness Respite Care | — | NULL | — |
| 385HR2060X | Child Intellectual and/or Developmental Disabilities Respite Care | — | NULL | — |
| 385HR2065X | Child Physical Disabilities Respite Care | — | NULL | — |

## Other

- **Enumeration date:** 04/18/2023
- **Last updated:** 01/28/2024