Organization Active NPI

Living Wisdom Home Health Agency, LLC

  • Home Health Agency
  • Brockton, MA
National Provider Identifier
1659675908
Registry record updated Dec 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
LIVING WISDOM HOME HEALTH AGENCY, LLC
Practice address
189 Belmont St
Brockton, MA 02301-5159
Phone
(617) 733-5159
NPI assigned
Dec 30, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2010

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

Authorized official

Name
Idelie Jean Baptiste
Title
Administrator
Phone
(617) 733-5159

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

189 Belmont St
Brockton, MA 02301-5159

Mailing address

189 Belmont St
Brockton, MA 02301-5159
Phone (617) 733-5159

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1293667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1293667200000",
    "number": "1659675908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "189 BELMONT ST",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023015159",
            "telephone_number": "617-733-5159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "189 BELMONT ST",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023015159",
            "telephone_number": "617-733-5159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVING WISDOM HOME HEALTH AGENCY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-30",
        "last_updated": "2010-12-30",
        "status": "A",
        "authorized_official_last_name": "BAPTISTE",
        "authorized_official_first_name": "IDELIE",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "617-733-5159"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brockton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2010; 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.