WISDOM HEALTHCARE SERVICE LLC
NPI 1114687563
Clinic/Center - Health Service in Lafayette, LA

Q: What is Wisdom Healthcare Service LLC's NPI number?

The NPI number for Wisdom Healthcare Service LLC is 1114687563. It was assigned to this organization in the NPPES registry on December 27, 2021.

Q: What is Wisdom Healthcare Service LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Health Service, with taxonomy code 261QH0100X.

Active since December 27, 2021

109 BOULET DR, LAFAYETTE, LA 70506(337) 279-2102(337) 735-1887 Get Directions Write a Review

NPPES record last updated: April 5, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 5, 2024, Jul 6, 2022, Feb 17, 2022 and 1 more (4 updates tracked since 2021).

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About Wisdom Healthcare Service Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WISDOM HEALTHCARE SERVICE LLC (NPI 1114687563) is a healthcare organization registered as a health service in Lafayette, Louisiana and active in the NPI registry since December 2021. The organization lists Destiny L Landry, Ceo, as its authorized official.

NPPES Registry Identity

NPI1114687563

Entity TypeOrganization

Primary Taxonomy261QH0100X

Legal Business NameWISDOM HEALTHCARE SERVICE LLC

Location Address109 BOULET DRLafayette, LA 70506-2212

Mailing Address5520 Johnson Ste K Pmb 1121Lafayette, LA 70503-6706 · (337) 279-2102 · Fax (337) 735-1887

Phone(337) 279-2102

Fax(337) 735-1887

Organization SubpartNo

Authorized OfficialDestiny L LandryCeo · (337) 230-3116

Enumeration DateDecember 27, 2021

Last NPPES UpdateApril 5, 20244 updates tracked since enumeration

NPPES CertifiedApril 5, 2024

✔ NPI 1114687563 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyClinic/Center · Health ServiceAmbulatory Health Care Facilities

Taxonomy Code261QH0100X

Also ListedIn Home Supportive CareTaxonomy 253Z00000X

Also ListedClinic/Center · Mental Health (Including Community Mental Health Center)Taxonomy 261QM0801X

Also ListedDurable Medical Equipment & Medical Supplies · Customized EquipmentTaxonomy 332BC3200X

109 BOULET DR, Lafayette, LA 70506

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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DESTINY L LANDRY

Specialist

109 BOULET DR
LAFAYETTE, LA 70506

Lafayette Parish (337) 230-3116

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Wisdom Healthcare Service LLC's NPI number?

The NPI number for Wisdom Healthcare Service LLC is 1114687563. It was assigned to this organization in the NPPES registry on December 27, 2021.

Where is Wisdom Healthcare Service LLC located?

Wisdom Healthcare Service LLC is located at 109 Boulet Dr, Lafayette, LA 70506. The listed phone number is (337) 279-2102.

What is Wisdom Healthcare Service LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Health Service, with taxonomy code 261QH0100X.

When was this NPI record last updated?

The NPPES record for Wisdom Healthcare Service LLC was last updated on April 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.