Wilcox Homecare LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

WILCOX HOMECARE LLC

Practice address

1635 S Ridgewood Ave Ste 102
South Daytona, FL 32119-8425

Phone

(321) 614-8287

Fax

(386) 271-3607

NPI assigned

Jun 29, 2022

Organization subpart

No

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

Authorized official

Name

Mr. Tyler Michael Wilcox

Title

Owner

Phone

(321) 614-8287

Specialties & licenses 1

Addresses

Other names 1

• Assisting Hands Home Care Serving South Volusia Doing business as

Locations

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

{
    "created_epoch": "1656460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656460800000",
    "number": "1003548934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1635 S RIDGEWOOD AVE STE 102",
            "city": "SOUTH DAYTONA",
            "state": "FL",
            "postal_code": "321198425",
            "telephone_number": "321-614-8287",
            "fax_number": "386-271-3607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1635 S RIDGEWOOD AVE STE 102",
            "city": "SOUTH DAYTONA",
            "state": "FL",
            "postal_code": "321198425",
            "telephone_number": "321-614-8287",
            "fax_number": "386-271-3607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILCOX HOMECARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-29",
        "last_updated": "2022-06-29",
        "certification_date": "2022-06-23",
        "status": "A",
        "authorized_official_last_name": "WILCOX",
        "authorized_official_first_name": "TYLER",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "321-614-8287",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Assisting Hands Home Care Serving South Volusia",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Elizabeth Summer Wigle
• Chandrea Williams
• Katie Wimberly, DPT
• Sheneoi Wingard-Artist
• Sharon K Winters, MD
• William C Winters, MD

• In Home Supportive Care Agency in South Daytona, FL
• Providers in South Daytona, FL by specialty
• In Home Supportive Care Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2022; 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.