Wise Healthcare Services Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

WISE HEALTHCARE SERVICES INC.

Practice address

850 N Kintyre Dr
Orange, CA 92869-7533

Phone

(714) 467-5444

NPI assigned

Apr 15, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Ayman Tailakh

Title

Administrator/Owner

Phone

(714) 467-5444

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Home health agency certification: CCN 559664

Legal name

WISE HEALTHCARE SERVICES INC.

Doing business as

NORTHEAST BILLING GROUP

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Feb 25, 2020

Last certification

Feb 25, 2020

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Incorporated

Apr 30, 2015 in CA

Enrollment address

2808 E Katella Ave
Ste 202-B
Orange, CA 92867-5230

Listed as

Wise Healthcare Services Inc.CCN 559664 · All quality measures

Ownership

Proprietary

Certified

Feb 25, 2020

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

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

{
    "created_epoch": "1429056000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430179200000",
    "number": "1053708107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 N KINTYRE DR",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928697533",
            "telephone_number": "714-467-5444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 N KINTYRE DR",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928697533",
            "telephone_number": "714-467-5444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WISE HEALTHCARE SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-15",
        "last_updated": "2015-04-28",
        "status": "A",
        "authorized_official_last_name": "TAILAKH",
        "authorized_official_first_name": "AYMAN",
        "authorized_official_title_or_position": "ADMINISTRATOR/OWNER",
        "authorized_official_telephone_number": "714-467-5444",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Felicia Janae Winslow
• Paul Irwan Lin-Wui Winson
• Anderson Winston Jr.
• Krista Winters
• Phillip Joseph Winters
• Agatha Ann Wise
• Gloria Alicia Wise
• Matthew Jay Wise, M.D.
• Patrick Wise
• Jeanne Wojslaw

• Home Health Agency in Orange, CA
• Providers in Orange, CA by specialty
• Home Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.