Organization Active NPI

Wisdom Health Care Services Inc.

  • Home Health Agency
  • Gardena, CA
National Provider Identifier
1306888029
Registry record updated Sep 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
WISDOM HEALTH CARE SERVICES INC.
Practice address
16921 S Western Ave
#219
Gardena, CA 90247-5248
Phone
(310) 324-3290
Fax
(310) 324-3614
NPI assigned
Jun 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2023

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

Authorized official

Name
Mrs. Agatha Diche Ibekwe, RN, PHN, BSN
Title
President/Ceo
Phone
(310) 324-3290

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

16921 S Western Ave
#219
Gardena, CA 90247-5248

Mailing address

16921 S Western Ave
#219
Gardena, CA 90247-5248
Phone (310) 324-3290

National Provider Directory

National Provider Directory

Locations

16921 S Western Ave
Ste 219
Gardena, CA 90247
Phone (310) 324-3290

16921 S Western Ave
Ste 215
Gardena, CA 90247
Phone (310) 324-3290

12509 Oxnard St
Ste 203
North Hollywood, CA 91606
Phone (818) 358-4434

NPI Registry JSON

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

{
    "created_epoch": "1149984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693958400000",
    "number": "1306888029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16921 S WESTERN AVE",
            "address_2": "#219",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902475248",
            "telephone_number": "310-324-3290",
            "fax_number": "310-324-3614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16921 S WESTERN AVE",
            "address_2": "#219",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902475248",
            "telephone_number": "310-324-3290",
            "fax_number": "310-324-3614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WISDOM HEALTH CARE SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-11",
        "last_updated": "2023-09-06",
        "status": "A",
        "authorized_official_last_name": "IBEKWE",
        "authorized_official_first_name": "AGATHA",
        "authorized_official_middle_name": "DICHE",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "310-324-3290",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN, PHN, BSN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gardena, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2023; 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.