Wise Enterprise, Incorporated

Primary specialty

PACE Provider OrganizationTaxonomy code 251T00000X

License

973-02-029 Issued in VA

Legal business name

WISE ENTERPRISE, INCORPORATED

Practice address

4895 Burnham Rd
Richmond, VA 23234-3711

Phone

(804) 986-8214

NPI assigned

Jan 29, 2008

Organization subpart

No

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

Authorized official

Name

Ms. Gwendolyn Veronica Andrews, M.S.W.

Title

Chief Executive Officer

Phone

(804) 986-8214

Specialties & licenses 1

Addresses

Other names 1

• Wise Enterprise, Incorporated Doing business as

Locations

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

{
    "created_epoch": "1201564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201564800000",
    "number": "1366629610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3109 W CLAY ST",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232304703",
            "telephone_number": "804-301-3513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4895 BURNHAM RD",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232343711",
            "telephone_number": "804-986-8214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WISE ENTERPRISE, INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-29",
        "last_updated": "2008-01-29",
        "status": "A",
        "authorized_official_last_name": "ANDREWS",
        "authorized_official_first_name": "GWENDOLYN",
        "authorized_official_middle_name": "VERONICA",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "804-986-8214",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.S.W."
    },
    "taxonomies": [
        {
            "code": "251T00000X",
            "taxonomy_group": "",
            "desc": "Program of All-Inclusive Care for the Elderly (PACE) Provider Organization",
            "state": "VA",
            "license": "973-02-029",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wise Enterprise, Incorporated",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kerryanne V Winters
• Stacy Winters
• Elizabeth Winthrop, F.N.P.
• Baldeep Wirk, MD
• Wisdom Transport LLC
• Wise Living LLC
• Christopher M Wise, M.D.
• Jessica Sprouse Wise, OTR/L
• Morris O. Wise, COUNSELOR
• Benjamin L Wiseman

• PACE Provider Organization in Richmond, VA
• Providers in Richmond, VA by specialty
• PACE Provider Organization in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2008; 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.