Wisna Serenity Homes Corp

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

WISNA SERENITY HOMES CORP

Practice address

444 North Mount Vernon Ave
Pottstown, PA 19464

Phone

(610) 504-9217

NPI assigned

Aug 17, 2018

Organization subpart

No

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

Authorized official

Name

Wisnada Dorestan, RN/MSN/FNPNPI 1467271197

Title

Ceo

Phone

(610) 504-9217

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Wisnada Dorestan

  • Family Nurse Practitioner
  • Pottstown, PA
  • NPI 1467271197
  NPD Authorized official

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

{
    "created_epoch": "1534464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534464000000",
    "number": "1609356732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "444 NORTH MOUNTH VERNON AVE",
            "city": "POTTSTOWN",
            "state": "PA",
            "postal_code": "194640411",
            "telephone_number": "610-504-9217",
            "fax_number": "610-926-4086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "444 NORTH MOUNT VERNON AVE",
            "city": "POTTSTOWN",
            "state": "PA",
            "postal_code": "19464",
            "telephone_number": "610-504-9217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WISNA SERENITY HOMES CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-17",
        "last_updated": "2018-08-17",
        "status": "A",
        "authorized_official_last_name": "DORESTAN",
        "authorized_official_first_name": "WISNADA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "610-504-9217",
        "authorized_official_credential": "RN/MSN/FNP"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Luke Edward Wilson, LPC
• Robert P Wilson Jr., P.T.
• Tamaralyn Wilson
• Karita Winsett
• Megan Faith Wismer
• Emma Woehr
• Women'S Health Care Group of PA
• Women'S Healthcare Group of PA Health Care for Women Only Division
• Ryan Woods, DPT
• Brian K Woodson

• Home Health Agency in Pottstown, PA
• Providers in Pottstown, PA by specialty
• Home Health Agency in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2018; 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.