Provider Demographics
NPI:1982246831
Name:WISE CARES
Entity Type:Organization
Organization Name:WISE CARES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ONDEA
Authorized Official - Middle Name:LASHARAE
Authorized Official - Last Name:SWAGGARD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:704-502-5610
Mailing Address - Street 1:3553 N SHARON AMITY RD STE 102
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28205-8991
Mailing Address - Country:US
Mailing Address - Phone:704-502-5610
Mailing Address - Fax:
Practice Address - Street 1:3325 WASHBURN AVE STE 206
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28205-7163
Practice Address - Country:US
Practice Address - Phone:980-938-4592
Practice Address - Fax:980-938-4791
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-11
Last Update Date:2022-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251S00000XAgenciesCommunity/Behavioral Health