Wise Future Group Support Services, LLC

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Legal business name

WISE FUTURE GROUP SUPPORT SERVICES, LLC

Practice address

10244 E Colonial Dr Ste 110
Orlando, FL 32817-4365

Phone

(407) 508-7374

NPI assigned

Dec 20, 2022

Organization subpart

No

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

Authorized official

Name

Yaznelly S Rivera

Title

Ceo

Phone

(407) 508-7374

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• wise future group support services llc Former legal business name

Tax ID family

Wise Future Group Support Services LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Wise Future Group Support Services, LLC

  • Behavior Analyst
  • Orlando, FL
  • NPI 1235841347
  NPD tax ID
• Wise Future Group Support Services, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Orlando, FL
  • NPI 1770181638
  NPD tax ID

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

{
    "created_epoch": "1671494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723680000000",
    "number": "1083326169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10244 E COLONIAL DR STE 110",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328174365",
            "telephone_number": "407-202-9440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10244 E COLONIAL DR STE 110",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328174365",
            "telephone_number": "407-508-7374"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "815 Mabbette St Ste B",
            "address_purpose": "LOCATION",
            "city": "Kissimmee",
            "state": "FL",
            "postal_code": "347415111",
            "country_code": "US",
            "telephone_number": "321-391-2543",
            "fax_number": "407-201-3528",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2205 Cluster Oak Dr Ste D",
            "address_purpose": "LOCATION",
            "city": "Clermont",
            "state": "FL",
            "postal_code": "347116747",
            "country_code": "US",
            "telephone_number": "407-202-9440",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WISE FUTURE GROUP SUPPORT SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-20",
        "last_updated": "2024-08-15",
        "certification_date": "2024-08-15",
        "status": "A",
        "authorized_official_last_name": "RIVERA",
        "authorized_official_first_name": "YAZNELLY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "407-508-7374"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110561900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "wise future group support services llc",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "wise future group support services llc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Adam Winterstein, BS
• Wire Medical Inc
• Erin Knowles Wirsing, MSW
• Jeremiah Stuart Wirth, LCSW
• Marcia M Wisdom-Johnson, CRNA
• Wise Future Group Support Services, LLC
• Wise Future Group Support Services, LLC
• Wise Medical Supplies Inc
• Rhonda Wise-Seda, APRN, AGPCNP-BC
• Michael Wise, MA, RMHCI

• Case Manager/Care Coordinator in Orlando, FL
• Providers in Orlando, FL by specialty
• Case Manager/Care Coordinator in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2024; 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.