Organization Active NPI

Wise Protective Service and More, Inc.

  • Case Management Agency
  • Broadlands, VA
National Provider Identifier
1043997067
Registry record updated Jun 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
WISE PROTECTIVE SERVICE AND MORE, INC.
Practice address
42713 Wilmar SQ
Broadlands, VA 20148-4147
Phone
(678) 668-5273
Fax
(276) 208-0023
NPI assigned
Jun 30, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Antomius Wise
Title
Founder
Phone
(678) 668-5273

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary
Voluntary or Charitable Agency 251V00000X

Addresses

Primary practice location

42713 Wilmar SQ
Broadlands, VA 20148-4147

Mailing address

42713 Wilmar SQ
Broadlands, VA 20148-4147

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1688083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688083200000",
    "number": "1043997067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42713 WILMAR SQ",
            "city": "BROADLANDS",
            "state": "VA",
            "postal_code": "201484147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42713 WILMAR SQ",
            "city": "BROADLANDS",
            "state": "VA",
            "postal_code": "201484147",
            "telephone_number": "678-668-5273",
            "fax_number": "276-208-0023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WISE PROTECTIVE SERVICE AND MORE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-30",
        "last_updated": "2023-06-30",
        "certification_date": "2023-06-22",
        "status": "A",
        "authorized_official_last_name": "WISE",
        "authorized_official_first_name": "ANTOMIUS",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "678-668-5273"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Broadlands, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.