Henry Kobina Wilson

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Practice address

900 Summit Blvd Apt 30
Bismarck, ND 58504-5276

Phone

(513) 795-9507

NPI assigned

Aug 15, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1660521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660521600000",
    "number": "1053039263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 SUMMIT BLVD APT 30",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585045276",
            "telephone_number": "513-795-9507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 SUMMIT BLVD APT 30",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585045276",
            "telephone_number": "513-795-9507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "HENRY",
        "middle_name": "KOBINA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-08-15",
        "last_updated": "2022-08-15",
        "certification_date": "2022-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Holly Williams, LSW
• Krista Williams, LPN
• Margaret Williams, FNP
• Karin Willis, M.D.
• Desiree N. Willman, DPT
• Jenise Delores Wilson, MS, LPCC
• Jonathan O. Wilson
• Kimberly Wilson, PHARM D
• Kiyanna G Wilson
• Nichole Carol Wilson, RN

• In Home Supportive Care Agency in Bismarck, ND
• Providers in Bismarck, ND by specialty
• In Home Supportive Care Agency in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 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.