Organization Active NPI

Wingman Home Care LLC

  • In Home Supportive Care Agency
  • Niceville, FL
National Provider Identifier
1841120573
Registry record updated May 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
WINGMAN HOME CARE LLC
Practice address
511 Oak Ave
Niceville, FL 32578-3312
Phone
(850) 467-9157
NPI assigned
May 22, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2026

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

Authorized official

Name
Mr. Andrew Mudge
Title
Owner
Phone
(850) 467-9157

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

511 Oak Ave
Niceville, FL 32578-3312

Mailing address

511 Oak Ave
Niceville, FL 32578-3312
Phone (850) 467-9157

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1779408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779408000000",
    "number": "1841120573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "511 OAK AVE",
            "city": "NICEVILLE",
            "state": "FL",
            "postal_code": "325783312",
            "telephone_number": "850-467-9157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 OAK AVE",
            "city": "NICEVILLE",
            "state": "FL",
            "postal_code": "325783312",
            "telephone_number": "850-467-9157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINGMAN HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-22",
        "last_updated": "2026-05-22",
        "certification_date": "2026-05-22",
        "status": "A",
        "authorized_official_last_name": "MUDGE",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "850-467-9157",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Niceville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2026; 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.