Wisba Home Care and Professional Career Center LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

033-R-1532 Issued in GA

Legal business name

WISBA HOME CARE AND PROFESSIONAL CAREER CENTER LLC

Practice address

2220 Atlanta Rd SE Ste 103
Smyrna, GA 30080-1541

Phone

(800) 413-9066

NPI assigned

Nov 8, 2017

Last updated

Nov 8, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jean W Bastia, NPNPI 1932561164

Title

Owner Administrator Ceo

Phone

(678) 425-4030

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jean Bastia, FNP

  • Family Nurse Practitioner
  • Kennesaw, GA
  • NPI 1932561164
  NPD (past) Authorized official

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

{
    "created_epoch": "1510099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1510099200000",
    "number": "1881107118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1915",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301568915",
            "telephone_number": "678-696-9905",
            "fax_number": "800-410-2504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2220 ATLANTA RD SE STE 103",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300801541",
            "telephone_number": "800-413-9066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WISBA HOME CARE AND PROFESSIONAL CAREER CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-08",
        "last_updated": "2017-11-08",
        "status": "A",
        "authorized_official_last_name": "BASTIA",
        "authorized_official_first_name": "JEAN",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER  ADMINISTRATOR  CEO",
        "authorized_official_telephone_number": "678-425-4030",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "GA",
            "license": "033-R-1532",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ramona J Wilson, LPC
• Windy Hill Dentistry, LLC
• Windy Hill Dentistry, LLC
• Windy Hill Pediatric Dentistry Smyrna, LLC
• Linda Winship, LCSW
• Dawn Marie Wolak, ANP-BC
• Morgan R Womack, FNP-C
• James H Wood, MD
• Wood's Psychological Services, Inc
• Shelby Woodall

• In Home Supportive Care Agency in Smyrna, GA
• Providers in Smyrna, GA by specialty
• In Home Supportive Care Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2017; 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.