Healthcare Provider Details

I. General information

NPI: 1609572098
Provider Name (Legal Business Name): TRUSTED WELLNESS LIVING HOMECARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/06/2023
Last Update Date: 07/16/2026
Certification Date: 07/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

99 NW 183RD ST STE 203D
MIAMI FL
33169-4531
US

IV. Provider business mailing address

99 NW 183RD ST STE 203D
MIAMI FL
33169-4531
US

V. Phone/Fax

Practice location:
  • Phone: 786-283-1555
  • Fax:
Mailing address:
  • Phone: 866-991-1841
  • Fax: 866-991-1841

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code320900000X
TaxonomyIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number State

VIII. Authorized Official

Name: MS. TISHEMA WILLIAMS
Title or Position: CO-OWNER
Credential:
Phone: 786-283-1555