OrganizationActive
Wisteria Elderly Care, LLC
NPI 1154664043 · Respite Care · Palm Bay, FL
Wisteria Elderly Care, LLC is a Respite Care organization in Palm Bay, FL (NPI 1154664043).
Provider details
- NPI number
- 1154664043
- Entity type
- Organization
- Primary specialty
- Respite CareRespite Care Facility
- Organization subpart
- No
- Authorized official
- Witza Larionne, Owner(321) 345-4177
- License
- 232475 (FL)
Specialties & taxonomies
Respite Care Facility
Transportation Services
Profile Score
Detailed profile(78/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
189 Donald Ave Ne
Palm Bay, FL 32907-3158
Phone: (321) 345-4177
Fax: (321) 345-4177
Street-level locationGet directions
Mailing address
189 Donald Ave Ne
Palm Bay, FL 32907-3158
Registry dates
- Enumerated
- 2013-03-29
- Last updated
- 2013-03-29
Frequently asked questions
- What is Wisteria Elderly Care, LLC's NPI number?
- Wisteria Elderly Care, LLC's National Provider Identifier (NPI) is 1154664043, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Wisteria Elderly Care, LLC?
- Wisteria Elderly Care, LLC is classified in the NPPES registry as Respite Care (Respite Care Facility).
- Where is Wisteria Elderly Care, LLC located?
- Wisteria Elderly Care, LLC's practice location on file with NPPES is 189 Donald Ave Ne, Palm Bay, FL 32907-3158.
- What is Wisteria Elderly Care, LLC's phone number?
- The practice phone number listed in the NPPES registry for Wisteria Elderly Care, LLC is (321) 345-4177.
- Who is the authorized official for Wisteria Elderly Care, LLC?
- The authorized official listed on Wisteria Elderly Care, LLC's NPPES record is Witza Larionne, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Wisteria Elderly Care, LLC's NPI active?
- Yes — Wisteria Elderly Care, LLC's NPI (1154664043) is active in the NPPES registry as of the last update on 2013-03-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.