Organization Active NPI

Wonder Life Enterprises Inc

  • Adult Day Care Clinic/Center
  • Pembroke Pines, FL
National Provider Identifier
1174331896
Registry record updated Dec 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
Legal business name
WONDER LIFE ENTERPRISES INC
Practice address
9050 Pines Blvd Ste 100
Pembroke Pines, FL 33024-6415
Phone
(954) 586-2474
NPI assigned
Dec 27, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2024

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

Authorized official

Name
Jenileiss Sancho
Title
President
Phone
(305) 506-7377

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X Primary

Addresses

Primary practice location

9050 Pines Blvd Ste 100
Pembroke Pines, FL 33024-6415

Mailing address

9050 Pines Blvd Ste 100
Pembroke Pines, FL 33024-6415
Phone (954) 586-2474

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1735257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735257600000",
    "number": "1174331896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9050 PINES BLVD STE 100",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330246415",
            "telephone_number": "954-586-2474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9050 PINES BLVD STE 100",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330246415",
            "telephone_number": "954-586-2474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WONDER LIFE ENTERPRISES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-27",
        "last_updated": "2024-12-27",
        "certification_date": "2024-12-27",
        "status": "A",
        "authorized_official_last_name": "SANCHO",
        "authorized_official_first_name": "JENILEISS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-506-7377"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke Pines, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 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.