Organization Active NPI

Wholesome Care Florida, Inc

  • Developmentally Disabled Services Day Training Agency
  • Brandon, FL
National Provider Identifier
1528693249
Registry record updated Mar 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
WHOLESOME CARE FLORIDA, INC
Practice address
502 Beverly Blvd
Brandon, FL 33511-5510
Phone
(301) 523-7711
NPI assigned
Mar 4, 2020
Last updated
Mar 4, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2020

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

Authorized official

Name
Augustin Mewanu
Title
Ceo
Phone
(301) 523-7711

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X Primary

Addresses

Primary practice location

502 Beverly Blvd
Brandon, FL 33511-5510

Mailing address

502 Beverly Blvd
Brandon, FL 33511-5510

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1583280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583280000000",
    "number": "1528693249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 BEVERLY BLVD",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335115510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 BEVERLY BLVD",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335115510",
            "telephone_number": "301-523-7711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHOLESOME CARE FLORIDA, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-04",
        "last_updated": "2020-03-04",
        "certification_date": "2020-03-04",
        "status": "A",
        "authorized_official_last_name": "MEWANU",
        "authorized_official_first_name": "AUGUSTIN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "301-523-7711"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brandon, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2020; 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.