THE WAGNER GROUP, INC. (NPI# 1134437767) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134437767 |
| Entity Type | Organization |
| Organization Name | THE WAGNER GROUP, INC. |
| Other Organization Name | COMPANION CALL LIGHT OF SOUTH FLORIDA |
| Practice Address |
3390 Sw 131st Ter Davie FL 33330-4618 |
| Practice Telephone | 9543707989 |
| Practice Fax Number | 9543704833 |
| Mailing Telephone | 9543707989 |
| Mailing Fax Number | 9543704833 |
| Enumeration Date | 2010-09-16 |
| Last Update Date | 2010-09-16 |
| Authorized Official Name | MR. JOSEPH R WAGNER (VICE PRESIDENT) |
| Authorized Official Telephone | 9543707989 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 333300000X | Emergency Response System Companies | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 680860396 | 05 | |
| FL | 685888100 | 05 | |
| FL | 680860398 | 05 |
| Other Name | Type Code |
|---|---|
| Companion Call Light of South Florida | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | THE WAGNER GROUP, INC. | P.o. Box 98, Sheridan, Oregon 97378 |
| Oregon Corporations, Companies and Business Names | THE WAGNER GROUP, INC. | 1469 Ne Center St, Sheridan, OR 97378 |
| Street Address |
3390 SW 131ST TER |
| City | DAVIE |
| State | FL |
| Zip Code | 33330-4618 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609157569 | Phyllis A. Wagner | Nurse Practitioner | 3390 Sw 131st Ter, Davie, FL 33330-4618 | 2011-09-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245830595 | Community Children's Therapy, Inc | Developmental Therapist | 12353 Natalies Cove Rd, Cooper City, FL 33330 | 2020-10-27 |
| 1508365982 | Sun Coast Recovery Ranch LLC | Substance Abuse Rehabilitation Facility | 4801 Hancock Rd, Southwest Ranches, FL 33330 | 2018-02-12 |
| 1487153441 | Everglades Physicians Alliance LLC | Internal Medicine | 4745 Volunteer Road, Suite 301, Davie, FL 33330 | 2018-02-06 |
| 1639689532 | Tariq Azeez | Occupational Therapy Assistant | 4301 S Flamingo Road #101, Davie, FL 33330 | 2017-10-05 |
| 1497129597 | Right Path Recovery, LLC | Substance Abuse Rehabilitation Facility | 4801 Hancock Road, Southwest Ranches, FL 33330 | 2015-11-30 |
| 1104202878 | Meghan Ashley Oswain | Occupational Therapist | 3141 Sw 118 Terrace, Davie, FL 33330 | 2015-08-05 |
| 1588075089 | Nicole Santiago | Respiratory Therapist, Registered | 5117 Sw 122nd Terrace, Cooper City, FL 33330 | 2014-05-19 |
| 1205180171 | Richard L. Sherman, D.d.s. | Dentist | 4725 Sw 148 Ave. Suite 203, Davie, FL 33330 | 2012-10-31 |
| 1952612996 | Vikram V Thakar | Podiatrist | 11302 Sw 55 St, Cooper City, FL 33330 | 2010-06-24 |
| 1376875344 | Carlos E. Spera, Md, Pa | Clinic/Center | 12575 Orange Drive #303, Davie, FL 33330 | 2010-02-02 |
| Find all providers in zip 33330 | ||||
| Taxonomy Code | 333300000X |
| Grouping | Suppliers |
| Classification | Emergency Response System Companies |
| A supplier of a personal emergency response system (PERS), which is an electronic device that enables a patient to receive emergency assistance when needed. The PERS is one of two different methodologies of notification: (1) where the patient summons emergency assistance themselves directly through the device or (2) emergency assistance is summoned through secure activation by the caretaker/guardian, which sends the device location to emergency responders. |
| Notes: Source: National Uniform Claim Committee, 2010 [7/1/2010: modified] |
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| 1124422027 | City of Satellite Beach | Emergency Response System Companies | 1390 S Patrick Dr, Satellite Beach, FL 32937-4380 | 2014-10-21 |
| 1295156024 | First Step Development Group | Emergency Response System Companies | 455 Ne 5th Ave Ste D304, Delray Beach, FL 33483-5658 | 2013-12-20 |
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| 1124468608 | Medical Services of America Inc | Emergency Response System Companies | 8641 Baypine Rd, Ste 2, Jacksonville, FL 32256-7515 | 2013-06-28 |
| 1790125326 | Medical Services of America Inc | Emergency Response System Companies | 17844 Ashley Dr, Ste 100, Panama City Beach, FL 32413-5001 | 2013-06-27 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.