Organization Active NPI

The Waki and Sol of Miami Corp

  • In Home Supportive Care Agency
  • Miami, FL
National Provider Identifier
1962075242
Registry record updated Nov 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
THE WAKI AND SOL OF MIAMI CORP
Practice address
1031 Ives Dairy Rd Ste 228
Miami, FL 33179-2538
Phone
(786) 420-5002
NPI assigned
Jul 23, 2021
Organization subpart
Yes
Parent organization
THE WAKI AND SOL OF MIAMI CORPAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 22, 2021

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

Authorized official

Name
Tony Oustabassidis
Title
Director
Phone
(954) 688-7065

Specialties & licenses 1

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

Addresses

Primary practice location

1031 Ives Dairy Rd Ste 228
Miami, FL 33179-2538

Mailing address

6488 NW 99TH Ave
Parkland, FL 33076-2337

Other identifiers 1

IdentifierTypeStateIssuer
106470400MedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address memberstatus@wakisol.com Direct

National Provider Directory

National Provider Directory
Tax ID family
The Waki and Sol of Miami Corp3 organizations share this tax ID, including this one
Part of
The Waki and Sol of Miami Corp

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1626998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637539200000",
    "number": "1962075242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6488 NW 99TH AVE",
            "city": "PARKLAND",
            "state": "FL",
            "postal_code": "330762337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1031 IVES DAIRY RD STE 228",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331792538",
            "telephone_number": "786-420-5002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE WAKI AND SOL OF MIAMI CORP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE WAKI AND SOL OF MIAMI CORP",
        "enumeration_date": "2021-07-23",
        "last_updated": "2021-11-22",
        "certification_date": "2021-11-22",
        "status": "A",
        "authorized_official_last_name": "OUSTABASSIDIS",
        "authorized_official_first_name": "TONY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "954-688-7065"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "106470400",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "memberstatus@wakisol.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Email",
            "address_1": "1031 Ives Dairy Rd Ste 228",
            "city": "Miami",
            "state": "FL",
            "country_code": "US",
            "postal_code": "331792538",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

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