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Wellsprings Residence LLC

Nursing Facility/Intermediate Care Facility in Apopka, FL · enumerated 2018 · authorized official Susan Kornegay, Authorized Managing Member.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1275010969

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Registry record

Entity type Organization (Type 2)
Legal business name Wellsprings Residence LLC
Other name <Unavail>
Practice address 700 E Welch Rd, Apopka, FL, 32712
Phone (407) 880-8020
Fax (407) 264-8660
Enumeration date Jul 25, 2018
Last updated in NPPES Oct 6, 2022

Taxonomy & classification

251B00000X Case Management Agency Agencies Secondary
251E00000X Home Health Agency Agencies Secondary
251J00000X Nursing Care Agency Agencies Secondary
251S00000X Community/Behavioral Health Agency Agencies Secondary
253Z00000X In Home Supportive Care Agency Agencies Secondary
261QA0600X Adult Day Care Clinic/Center Ambulatory Health Care Facilities Secondary
261QM0801X Mental Health Clinic/Center (Including Community Mental Health Center) Ambulatory Health Care Facilities Secondary
261QM0850X Adult Mental Health Clinic/Center Ambulatory Health Care Facilities Secondary
310400000X Assisted Living Facility Nursing & Custodial Care Facilities Secondary
311500000X Alzheimer Center (Dementia Center) Nursing & Custodial Care Facilities Secondary
313M00000X Nursing Facility/Intermediate Care Facility Nursing & Custodial Care Facilities Primary
314000000X Skilled Nursing Facility Nursing & Custodial Care Facilities Secondary
385H00000X Respite Care Respite Care Facility Secondary

Authorized official

Name Susan Kornegay
Title Authorized Managing Member
Phone (407) 951-0268

Other identifiers

Identifier Type State Issuer
96EQ6 Other - SAM CAGE CODE
100011400 Medicaid FL -
GJHJCRUH32H5 Other - SAM UNIQUE ENTITY ID
11968599 Other FL AGENCY FOR HEALTHCARE ADMINISTRATION (AHCA)

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Who is the authorized official for Wellsprings Residence LLC?
NPPES lists Susan Kornegay (Authorized Managing Member) as the authorized official for this organization.
What is the NPI number for Wellsprings Residence LLC?
The NPI for Wellsprings Residence LLC is 1275010969, a Type 2 (organization) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2022-10-06.