Organization Active NPI

Wisdom Homemaker & Companion Services

  • In Home Supportive Care Agency
  • Havana, FL
National Provider Identifier
1457752057
Registry record updated Sep 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
233727 Issued in FL
Legal business name
WISDOM HOMEMAKER & COMPANION SERVICES
Practice address
1747 FL Ga Hwy
Havana, FL 32333-4591
Phone
(850) 566-4682
NPI assigned
Sep 15, 2014
Last updated
Sep 15, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2014

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

Authorized official

Name
Latasha Davis
Title
President
Phone
(850) 566-4682

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X 233727 FL Primary

Addresses

Primary practice location

1747 FL Ga Hwy
Havana, FL 32333-4591

Mailing address

1197 Glade Rd
Havana, FL 32333-3618

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1410739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410739200000",
    "number": "1457752057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1197 GLADE RD",
            "city": "HAVANA",
            "state": "FL",
            "postal_code": "323333618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1747 FL GA HWY",
            "city": "HAVANA",
            "state": "FL",
            "postal_code": "323334591",
            "telephone_number": "850-566-4682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WISDOM HOMEMAKER & COMPANION SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-15",
        "last_updated": "2014-09-15",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "LATASHA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "850-566-4682"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "FL",
            "license": "233727",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Havana, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2014; 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.