Wisdom Adult Day Care Services, LLC

Primary specialty

Point of ServiceTaxonomy code 305S00000X

License

9251 Issued in FL

Legal business name

WISDOM ADULT DAY CARE SERVICES, LLC

Practice address

1197 Glade Rd
Havana, FL 32333-3618

Phone

(850) 539-8485

Fax

(850) 539-8486

NPI assigned

Aug 23, 2013

Last updated

Aug 23, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Latasha Davis

Title

Director

Phone

(850) 539-8485

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1377216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377216000000",
    "number": "1558795765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1747 FL GA HWY",
            "city": "HAVANA",
            "state": "FL",
            "postal_code": "323334591",
            "telephone_number": "850-539-8485",
            "fax_number": "850-539-8486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1197 GLADE RD",
            "city": "HAVANA",
            "state": "FL",
            "postal_code": "323333618",
            "telephone_number": "850-539-8485",
            "fax_number": "850-539-8486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WISDOM ADULT DAY CARE SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-23",
        "last_updated": "2013-08-23",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "LATASHA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "850-539-8485"
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "FL",
            "license": "9251",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amber Gail Whitfield, APRN
• Aimee Williams
• Corey Williams, R.N.
• Fredricka Williams
• Margret Willimas, RMA
• Wisdom Homemaker & Companion Services
• Lioryah Yisrael

• Point of Service in Havana, FL
• Providers in Havana, FL by specialty
• Point of Service in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2013; 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.