Whispering Willows at Palm Bay LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

WHISPERING WILLOWS AT PALM BAY LLC

Practice address

3604 Jupiter Blvd SE
Palm Bay, FL 32909-3859

Phone

(321) 327-7140

NPI assigned

Apr 25, 2023

Organization subpart

No

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

Authorized official

Name

Susanne Wamba

Title

Operations Manager

Phone

(727) 543-8109

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1682380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682380800000",
    "number": "1528756947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2838 AUDUBON VILLAGE DR UNIT 7124",
            "city": "AUDUBON",
            "state": "PA",
            "postal_code": "194071006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3604 JUPITER BLVD SE",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329093859",
            "telephone_number": "321-327-7140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHISPERING WILLOWS AT PALM BAY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-25",
        "last_updated": "2023-04-25",
        "certification_date": "2023-04-25",
        "status": "A",
        "authorized_official_last_name": "WAMBA",
        "authorized_official_first_name": "SUSANNE",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "727-543-8109"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sheryl A Welton, LCSW
• Joseph A Werner, OTR
• Rene L Wess
• West Mobile Phlebotomy Corporation
• Jesse Whalen
• Amanda Michelle White
• Eli E. White, D.D.S.
• Jacqueline White, PHARMACIST
• Jalessa White
• Joy White

• Assisted Living Facility in Palm Bay, FL
• Providers in Palm Bay, FL by specialty
• Assisted Living Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2023; 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.