John D. Wallace

Homemaker · Miami, FL

Individual Active NPI

NPI number 1679900161

Practice location

1455 NW 53rd St Apt 222
Miami, FL 33142
Phone
(904) 418-3893

Open in Google Maps

NPI record

NPI
1679900161
Entity type
Individual (Type 1)
Enumeration date
September 30, 2013
Last updated
June 29, 2018
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Homemaker Primary 376J00000X 235276 FL
Mental Health Counselor 101YM0800X — —
Respite Care 385H00000X 235276 FL
Adult Companion 372600000X 235276 FL

Mailing address

15286 SW 104TH St Apt 2-22
Miami, FL 33196-3238
Phone
(904) 418-3893

About John Wallace

John D. Wallace is a healthcare provider registered in the NPI registry with the primary taxonomy Homemaker (code 376J00000X). The practice location is 1455 NW 53rd St Apt 222, Miami, FL 33142. The NPI number 1679900161 was assigned on September 30, 2013 and the record was last updated on June 29, 2018.

John Wallace lists 3 licenses in the registry: #235276 (FL) for Homemaker; #235276 (FL) for Respite Care; #235276 (FL) for Adult Companion. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of John D. Wallace?

The NPI number is 1679900161.

What is the phone number of John Wallace?

The phone number listed for the practice location is (904) 418-3893.

Where is John Wallace located?

1455 NW 53rd St Apt 222, Miami, FL 33142.

What is the taxonomy code for John Wallace?

The primary taxonomy code is 376J00000X – Homemaker; 3 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

Other Homemaker providers in Miami

All Homemaker providers in Miami, FL →