WGR Holdings Melbourne, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

WGR HOLDINGS MELBOURNE, LLC

Doing business as

FIVE STAR HOME CARE

Practice address

760 North Dr
Ste C
Melbourne, FL 32934-9216

Phone

(321) 241-4433

Fax

(321) 241-4437

NPI assigned

May 28, 2016

Organization subpart

No

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

Authorized official

Name

Mr. Wilfredo E Martinez

Title

Ceo

Phone

(321) 241-4433

Specialties & licenses 1

Addresses

Other names 1

• FIVE STAR HOME CARE Doing business as

Locations

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

{
    "created_epoch": "1464393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464393600000",
    "number": "1588012744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 NW CORPORATE BLVD",
            "address_2": "STE 100W",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334318502",
            "telephone_number": "321-241-4433",
            "fax_number": "321-241-4437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "760 NORTH DR",
            "address_2": "STE C",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329349216",
            "telephone_number": "321-241-4433",
            "fax_number": "321-241-4437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WGR HOLDINGS MELBOURNE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-28",
        "last_updated": "2016-05-28",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "WILFREDO",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "321-241-4433",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FIVE STAR HOME CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Corey Wesenberg
• Jeffrey A Westerfield, MD
• Samantha Westervelt, APRN
• Bonnie Lyn Westgate Lovett, LIMHP
• Camellia Ann Westwell, PSY.D.
• Briana Leigh-Grose Whaley, RMHCI, MA, MS, MDIV,
• Michelle Renee Wheat, LMT
• Savannah Wheat
• Jarvis Ac Wheeler, MSW,MPA
• Joana Lin Wheeler

• Home Health Agency in Melbourne, FL
• Providers in Melbourne, FL by specialty
• Home Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2016; 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.