WISTERIA ELDERLY CARE, LLC
NPI 1154664043
Respite Care in Palm Bay, FL

Q: What is Wisteria Elderly Care, LLC's NPI number?

The NPI number for Wisteria Elderly Care, LLC is 1154664043. It was assigned to this organization in the NPPES registry on March 29, 2013.

Q: What is Wisteria Elderly Care, LLC's specialty?

The primary specialty registered for this NPI is Respite Care with taxonomy code 385H00000X.

Active since March 29, 2013

189 DONALD AVE NE, PALM BAY, FL 32907(321) 345-4177(321) 345-4177 Get Directions Write a Review

NPPES record last updated: March 29, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Wisteria Elderly Care, Llc NPPES

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

WISTERIA ELDERLY CARE, LLC (NPI 1154664043) is a healthcare organization registered as a respite care in Palm Bay, Florida and active in the NPI registry since March 2013. The organization lists Witza Larionne, Owner, as its authorized official.

NPPES Registry Identity

NPI1154664043

Entity TypeOrganization

Primary Taxonomy385H00000X

Legal Business NameWISTERIA ELDERLY CARE, LLC

Location Address189 DONALD AVE NEPalm Bay, FL 32907-3158

Mailing Address189 Donald Ave NePalm Bay, FL 32907-3158 · (321) 345-4177 · Fax (321) 345-4177

Phone(321) 345-4177

Fax(321) 345-4177

Organization SubpartNo

Authorized OfficialWitza LarionneOwner · (321) 345-4177

Enumeration DateMarch 29, 2013

✔ NPI 1154664043 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRespite CareRespite Care Facility

Taxonomy Code385H00000X

License✔ Licensed in FL · 6906533

Also ListedPrivate VehicleTaxonomy 347C00000X · License 232475 (FL)

189 DONALD AVE NE, Palm Bay, FL 32907

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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 Wisteria Elderly Care, LLC's NPI number?

The NPI number for Wisteria Elderly Care, LLC is 1154664043. It was assigned to this organization in the NPPES registry on March 29, 2013.

Where is Wisteria Elderly Care, LLC located?

Wisteria Elderly Care, LLC is located at 189 Donald Ave NE, Palm Bay, FL 32907. The listed phone number is (321) 345-4177.

What is Wisteria Elderly Care, LLC's specialty?

The primary specialty registered for this NPI is Respite Care with taxonomy code 385H00000X.

When was this NPI record last updated?

The NPPES record for Wisteria Elderly Care, LLC was last updated on March 29, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.