Wolmar George Busche

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

12342 Issued in FL

Practice address

3115 S Miller Rd
Valrico, FL 33596-5716

Phone

(813) 530-4495

NPI assigned

Oct 15, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Tranquil Residence & Care Center LLC

  • Assisted Living Facility
  • Valrico, FL
  • NPI 1780353748
  NPD Authorized official

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

{
    "created_epoch": "1634256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634256000000",
    "number": "1821751959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2802 LESLIE RD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336192224",
            "telephone_number": "813-299-1602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3115 S MILLER RD",
            "city": "VALRICO",
            "state": "FL",
            "postal_code": "335965716",
            "telephone_number": "813-530-4495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUSCHE",
        "first_name": "WOLMAR",
        "middle_name": "GEORGE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-10-15",
        "last_updated": "2021-10-15",
        "certification_date": "2021-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "12342",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph Buckley, PHARMD
• Mynu Buckner
• Cynthia Lisette Buitrago Diaz, MS
• Kelly Bulaclac, ARNP
• Michael Claude Burnette, MD
• Dianne Butts
• Jeff H Bynum, DDS
• Carlos Rafael Cabanas
• Stephen Cabral, PT, DPT
• Stephanie Michelle Caceres

• Assisted Living Facility in Valrico, FL
• Providers in Valrico, FL by specialty
• Assisted Living Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2021; 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.