Organization Active NPI

Wisdom 3, LLC

  • Home Health Agency
  • Fort Lauderdale, FL
National Provider Identifier
1386239796
Registry record updated Mar 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
WISDOM 3, LLC
Doing business as
Wisdom 3, LLC
Practice address
1415 W Cypress Creek Rd Ste 300
Fort Lauderdale, FL 33309-1955
Phone
(202) 291-2970
NPI assigned
Mar 8, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2021

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

Authorized official

Name
Charles Tekeh
Title
Administrator
Phone
(202) 291-2970

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

1415 W Cypress Creek Rd Ste 300
Fort Lauderdale, FL 33309-1955

Mailing address

7603 Georgia Ave NW Ste 203
Washington, DC 20012-1617
Phone (202) 291-2970

Other names 1

  • WISDOM 3, LLC Doing business as

National Provider Directory

National Provider Directory

Locations

1415 W Cypress Creek Rd
Ste 300
Fort Lauderdale, FL 33309
Phone (202) 291-2970

NPI Registry JSON

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

{
    "created_epoch": "1615161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615248000000",
    "number": "1386239796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7603 GEORGIA AVE NW STE 203",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200121617",
            "telephone_number": "202-291-2970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 W CYPRESS CREEK RD STE 300",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333091955",
            "telephone_number": "202-291-2970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WISDOM 3, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-08",
        "last_updated": "2021-03-09",
        "certification_date": "2021-03-09",
        "status": "A",
        "authorized_official_last_name": "TEKEH",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "202-291-2970"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WISDOM 3, LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "WISDOM 3, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2021; 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.