Active NPI
Wisdom Healthcare LLC
- Home Health Agency
- Saugus, MA
National Provider Identifier
1093542524
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- WISDOM HEALTHCARE LLC
- Practice address
- 346 Main St
Saugus, MA 01906-3146 - Phone
- (617) 895-7656
- NPI assigned
- Sep 18, 2024
- Last updated
- Sep 19, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Abdou S Thiaw
- Title
- Cfo/Administrator
- Phone
- (617) 895-7656
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | NU | Primary | |
| Non-emergency Medical Transport (VAN) | 343900000X | NU | ||
| Emergency Response System Companies | 333300000X | NU | ||
| In Home Supportive Care Agency | 253Z00000X | NU |
Addresses
Primary practice location
346 Main St
Saugus, MA 01906-3146
Mailing address
346 Main St
Saugus, MA 01906-3146
Phone (617) 895-7656
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Licensed Practical Nurse
- Saugus, MA
- NPI 1033983374
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1726617600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1726704000000",
"number": "1093542524",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "346 MAIN ST",
"city": "SAUGUS",
"state": "MA",
"postal_code": "019063146",
"telephone_number": "617-895-7656"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "346 MAIN ST",
"city": "SAUGUS",
"state": "MA",
"postal_code": "019063146",
"telephone_number": "617-895-7656"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WISDOM HEALTHCARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-09-18",
"last_updated": "2024-09-19",
"certification_date": "2024-09-19",
"status": "A",
"authorized_official_last_name": "THIAW",
"authorized_official_first_name": "ABDOU",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "CFO/ADMINISTRATOR",
"authorized_official_telephone_number": "617-895-7656"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "333300000X",
"taxonomy_group": "",
"desc": "Emergency Response System Companies",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saugus, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 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.