Wilsons Caring Place LLC

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

Legal business name

WILSONS CARING PLACE LLC

Practice address

5609 US Hwy 19
Ste G
New Port Richey, FL 34652-3754

Phone

(727) 851-3949

Fax

(866) 675-0558

NPI assigned

May 5, 2020

Organization subpart

No

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

Authorized official

Name

Tiffany Wilson

Title

Executive Director

Phone

(727) 851-3949

Specialties & licenses 4

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1588636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600905600000",
    "number": "1043831696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 864",
            "city": "PORT RICHEY",
            "state": "FL",
            "postal_code": "346730864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5609 US HWY 19",
            "address_2": "STE G",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346523754",
            "telephone_number": "727-851-3949",
            "fax_number": "866-675-0558"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4223 Manihi Dr Apt 2",
            "address_purpose": "LOCATION",
            "city": "New Port Richey",
            "state": "FL",
            "postal_code": "346536165",
            "country_code": "US",
            "telephone_number": "727-851-3949",
            "fax_number": "866-675-0558",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WILSONS CARING PLACE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-05",
        "last_updated": "2020-09-24",
        "certification_date": "2020-09-24",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "727-851-3949"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "372600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Adult Companion",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Homemaker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385HR2065X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Physical Disabilities, Child",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "022088500",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "236478",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Natalie Williams, APRN
• Theresa Marie Williams, OTR/L
• Rose Diana Wilmot, PHARMD
• Abigail Joy Wilson, LMHC
• Andrew Wilson, MD
• Corinne Winer
• Layne S Winker, PA-C
• Winn Dixie
• Jerrye O Winters, MS.RD.
• Alison Ann Wissa, DO

• Developmentally Disabled Services Day Training Agency in New Port Richey, FL
• Providers in New Port Richey, FL by specialty
• Developmentally Disabled Services Day Training Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2020; 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.