Healthcare Provider Details

I. General information

NPI: 1508720897
Provider Name (Legal Business Name): WELLSPRING FAMILY & COMMUNITY INSTITUTE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/11/2025
Last Update Date: 12/11/2025
Certification Date: 12/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

440 BENMAR DR STE 2251
HOUSTON TX
77060-2962
US

IV. Provider business mailing address

440 BENMAR DR STE 2251
HOUSTON TX
77060-2962
US

V. Phone/Fax

Practice location:
  • Phone: 281-760-9387
  • Fax:
Mailing address:
  • Phone: 281-760-9387
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: DAVID LEONARD JONES
Title or Position: CEO
Credential:
Phone: 832-881-1264