Wisa Enterprises LLC

Primary specialty

HomemakerTaxonomy code 376J00000X

License

35123601 Issued in PA

Legal business name

WISA ENTERPRISES LLC

Practice address

2041 Brookes LN
Harrisburg, PA 17110-3681

Phone

(717) 425-9964

NPI assigned

Oct 17, 2017

Last updated

Oct 17, 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

Isaiah Umana

Title

Manager

Phone

(717) 425-9964

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1508198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508198400000",
    "number": "1942711999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2041 BROOKES LN",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171103681",
            "telephone_number": "717-425-9964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2041 BROOKES LN",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171103681",
            "telephone_number": "717-425-9964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WISA ENTERPRISES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-17",
        "last_updated": "2017-10-17",
        "status": "A",
        "authorized_official_last_name": "UMANA",
        "authorized_official_first_name": "ISAIAH",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "717-425-9964"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "NU",
            "license": "35123601",
            "primary": false
        },
        {
            "code": "372600000X",
            "taxonomy_group": "",
            "desc": "Adult Companion",
            "state": "PA",
            "license": "35123601",
            "primary": false
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "",
            "desc": "Homemaker",
            "state": "PA",
            "license": "35123601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Homemaker in Harrisburg, PA
• Providers in Harrisburg, PA by specialty
• Homemaker in Pennsylvania

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