Organization Active NPI

Wishing Well Home Care LLC

  • In Home Supportive Care Agency
  • Kalamazoo, MI
National Provider Identifier
1295606457
Registry record updated Sep 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
WISHING WELL HOME CARE LLC
Practice address
2625 Gull Rd
Kalamazoo, MI 49048-1439
Phone
(269) 400-3955
NPI assigned
Sep 12, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2025

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

Authorized official

Name
Delia Stafford, BSN, RN
Title
Owner
Phone
(269) 400-3955

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

2625 Gull Rd
Kalamazoo, MI 49048-1439

Mailing address

2625 Gull Rd
Kalamazoo, MI 49048-1439
Phone (269) 400-3955

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1757635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757635200000",
    "number": "1295606457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2625 GULL RD",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490481439",
            "telephone_number": "269-400-3955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2625 GULL RD",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490481439",
            "telephone_number": "269-400-3955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WISHING WELL HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-12",
        "last_updated": "2025-09-12",
        "certification_date": "2025-09-12",
        "status": "A",
        "authorized_official_last_name": "STAFFORD",
        "authorized_official_first_name": "DELIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "269-400-3955",
        "authorized_official_credential": "BSN, RN"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kalamazoo, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2025; 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.