NPIMap

Organization Active NPI

Robbie Wilson Community Service Inc

  • Adult Companion
  • Winston Salem, NC
National Provider Identifier
1003148388
Registry record updated Jul 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult CompanionTaxonomy code 372600000X
Legal business name
ROBBIE WILSON COMMUNITY SERVICE INC
Practice address
5462 Northridge Dr
Winston Salem, NC 27105-1782
Phone
(336) 473-9933
NPI assigned
Feb 11, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Eyvette Lachella Aabbott
Title
Ceo
Phone
(336) 473-9933

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X NC
Chore ProviderGroup: 193200000X MULTI-SPECIALTY GROUP 372500000X
Adult CompanionGroup: 193200000X MULTI-SPECIALTY GROUP 372600000X Primary
Personal Care AttendantGroup: 193200000X MULTI-SPECIALTY GROUP 3747P1801X

Addresses

Primary practice location

5462 Northridge Dr
Winston Salem, NC 27105-1782

Mailing address

5462 Northridge Dr
Winston Salem, NC 27105-1782
Phone (336) 473-9933

National Provider Directory

National Provider Directory
Tax ID family
Robbie Wilson Communitity Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

101 S Marshall St
Ste 221
Winston Salem, NC 27101

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1265846400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689897600000",
    "number": "1003148388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5462 NORTHRIDGE DR",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271051782",
            "telephone_number": "336-473-9933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5462 NORTHRIDGE DR",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271051782",
            "telephone_number": "336-473-9933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBBIE WILSON COMMUNITY SERVICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-11",
        "last_updated": "2023-07-21",
        "certification_date": "2023-07-21",
        "status": "A",
        "authorized_official_last_name": "AABBOTT",
        "authorized_official_first_name": "EYVETTE",
        "authorized_official_middle_name": "LACHELLA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "336-473-9933"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NC",
            "license": null,
            "primary": false
        },
        {
            "code": "372500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chore Provider",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "372600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Adult Companion",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.