Healthcare Provider Details

I. General information

NPI: 1538024104
Provider Name (Legal Business Name): TRUSTED WELLNESS LIVING HOMECARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/17/2025
Last Update Date: 12/17/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3600 S STATE ROAD 7 STE 207
MIRAMAR FL
33023-5288
US

IV. Provider business mailing address

3600 S STATE ROAD 7 STE 207
MIRAMAR FL
33023-5288
US

V. Phone/Fax

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

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: TISHEMA WILLIAMS
Title or Position: ADMIN
Credential:
Phone: 786-283-1555