Organization Active NPI

Wise Home Care LLC

  • Community/Behavioral Health Agency
  • North Liberty, IA
National Provider Identifier
1538854534
Registry record updated Apr 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
WISE HOME CARE LLC
Practice address
207 N Park Ridge Rd
North Liberty, IA 52317-2002
Phone
(319) 400-8579
NPI assigned
Apr 6, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2023

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

Authorized official

Name
Alex Mbarato Runezerwa
Title
Owner
Phone
(319) 400-8579

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

207 N Park Ridge Rd
North Liberty, IA 52317-2002

Mailing address

207 N Park Ridge Rd
North Liberty, IA 52317-2002
Phone (319) 400-8579

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1680739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680739200000",
    "number": "1538854534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 N PARK RIDGE RD",
            "city": "NORTH LIBERTY",
            "state": "IA",
            "postal_code": "523172002",
            "telephone_number": "319-400-8579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 N PARK RIDGE RD",
            "city": "NORTH LIBERTY",
            "state": "IA",
            "postal_code": "523172002",
            "telephone_number": "319-400-8579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WISE HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-06",
        "last_updated": "2023-04-06",
        "certification_date": "2023-04-06",
        "status": "A",
        "authorized_official_last_name": "RUNEZERWA",
        "authorized_official_first_name": "ALEX",
        "authorized_official_middle_name": "MBARATO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "319-400-8579"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Liberty, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 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.