Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Wisteria Elderly Care, LLC

Organization Private Vehicle · NPI 1154664043

Wisteria Elderly Care, LLC is a Private Vehicle in Palm Bay, Florida. Licensed in Florida. Registered with an NPI since 2013.

Licensed in
FL
In the registry since
2013
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

189 Donald Ave NE
Palm Bay, FL 32907-3158
Phone: (321) 345-4177
Fax: (321) 345-4177
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Respite Care (primary) Taxonomy 385H00000X · Licence 6906533 (FL)
Private Vehicle Taxonomy 347C00000X · Licence 232475 (FL)

Record details

NPI number1154664043
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Witza Larionne — Owner · (321) 345-4177
NPI enumeratedMarch 29, 2013
Last updated in NPPESMarch 29, 2013
Mailing address189 Donald Ave Ne, Palm Bay, FL 32907-3158

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