NPIMap

Organization Active NPI

Wish Health Services

  • In Home Supportive Care Agency
  • Gulfport, MS
National Provider Identifier
1033684766
Registry record updated Jul 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
WISH HEALTH SERVICES
Practice address
1520 29TH Ave Ste 16
Gulfport, MS 39501-2843
Phone
(228) 209-6307
Fax
(888) 725-7090
NPI assigned
Oct 9, 2018
Last updated
Jul 11, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2019

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

Authorized official

Name
Ms. Keimyereia Railynn Lewis-Jones, BA
Title
Owner
Phone
(504) 518-6383

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X
Adult Day Care Clinic/Center 261QA0600X
Child Intellectual and/or Developmental Disabilities Respite Care 385HR2060X
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

1520 29TH Ave Ste 16
Gulfport, MS 39501-2843

Mailing address

PO Box 750423
New Orleans, LA 70175-0423
Phone (228) 209-6307

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1539043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1562803200000",
    "number": "1033684766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 750423",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701750423",
            "telephone_number": "228-209-6307",
            "fax_number": "888-725-7090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1520 29TH AVE STE 16",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395012843",
            "telephone_number": "228-209-6307",
            "fax_number": "888-725-7090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WISH HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-09",
        "last_updated": "2019-07-11",
        "status": "A",
        "authorized_official_last_name": "LEWIS-JONES",
        "authorized_official_first_name": "KEIMYEREIA",
        "authorized_official_middle_name": "RAILYNN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "504-518-6383",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "BA"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385HR2060X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gulfport, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2019; 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.