Wisteria Home Care Agency LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

WISTERIA HOME CARE AGENCY LLC

Practice address

127 W Berry St Ste 801
Fort Wayne, IN 46802-2321

Phone

(260) 797-1676

NPI assigned

Mar 8, 2024

Organization subpart

No

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

Authorized official

Name

Virervia Rodriguez

Title

Owner/President

Phone

(260) 797-1676

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1709856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709856000000",
    "number": "1518725159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 W BERRY ST STE 801",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468022321",
            "telephone_number": "260-797-1676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 W BERRY ST STE 801",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468022321",
            "telephone_number": "260-797-1676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WISTERIA HOME CARE AGENCY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-08",
        "last_updated": "2024-03-08",
        "certification_date": "2024-03-08",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "VIRERVIA",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "260-797-1676"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marguerite Kay Wise, MS
• Patrick Joseph Wise, DO
• Sondra Ann Wise, 17001471A
• Britney L Wiseman
• Sarah Catherine Wisser, OD
• Jamie Witherspoon
• Jessica Joy Witmer
• Ondreya Lee Witmer
• Ryan Witt, OT
• Brandon Witte, DPT

• In Home Supportive Care Agency in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• In Home Supportive Care Agency in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2024; 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.