WAVE WELLNESS CENTER, LLC
NPI 1760279475
Substance Abuse Rehabilitation Facility in Philadelphia, PA

Active since April 24, 2025
3396 MILLER ST, PHILADELPHIA, PA 19134(215) 901-5877 Get Directions Write a Review

NPPES record last updated: April 24, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Wave Wellness Center, Llc NPPES

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

WAVE WELLNESS CENTER, LLC (NPI 1760279475) is a healthcare organization registered as a substance abuse rehabilitation facility in Philadelphia, Pennsylvania and active in the NPI registry since April 2025. The organization lists Marc Bongiovanni, Ceo, as its authorized official.

NPPES Registry Identity

NPI1760279475
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameWAVE WELLNESS CENTER, LLC
Location Address3396 MILLER STPhiladelphia, PA 19134-5325
Mailing Address3540 Wharton StPhiladelphia, PA 19146-3226 · (215) 768-5600
Organization SubpartNo
Authorized OfficialMarc BongiovanniCeo · (215) 768-5600
Enumeration DateApril 24, 2025
NPPES CertifiedApril 24, 2025
NPI 1760279475 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities
Taxonomy Code324500000X
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
Also ListedClinic/CenterTaxonomy 261Q00000X
Also ListedClinic/Center · Adult Mental HealthTaxonomy 261QM0850X
3396 MILLER ST, Philadelphia, PA 19134

Other Providers at the Same Location NPPES 3

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

Clinic/Center (Rehabilitation, Substance Use Disorder)
3396 MILLER ST
PHILADELPHIA, PA 19134
Substance Abuse Rehabilitation Facility
3396 MILLER ST
PHILADELPHIA, PA 19134
Clinic/Center (Rehabilitation, Substance Use Disorder)
3396 MILLER ST
PHILADELPHIA, PA 19134

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 Wave Wellness Center, LLC's NPI number?

The NPI number for Wave Wellness Center, LLC is 1760279475. It was assigned to this organization in the NPPES registry on April 24, 2025.

Where is Wave Wellness Center, LLC located?

Wave Wellness Center, LLC is located at 3396 Miller St, Philadelphia, PA 19134. The listed phone number is (215) 901-5877.

What is Wave Wellness Center, LLC's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

When was this NPI record last updated?

The NPPES record for Wave Wellness Center, LLC was last updated on April 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.