Wilson Elite Services, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

691506096 Issued in FL

Legal business name

WILSON ELITE SERVICES, LLC

Practice address

1634 SW Thelma St
Palm City, FL 34990-3361

Phone

(772) 214-4559

Fax

(772) 286-4992

NPI assigned

Feb 23, 2011

Organization subpart

No

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

Authorized official

Name

Ms. Viola Wilson

Title

Owner/Operator

Phone

(772) 286-4982

Specialties & licenses 2

Addresses

Other identifiers 2

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

{
    "created_epoch": "1298419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304380800000",
    "number": "1093012270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1634 SW THELMA ST",
            "city": "PALM CITY",
            "state": "FL",
            "postal_code": "349903361",
            "telephone_number": "772-214-4559",
            "fax_number": "772-286-4992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1634 SW THELMA ST",
            "city": "PALM CITY",
            "state": "FL",
            "postal_code": "349903361",
            "telephone_number": "772-214-4559",
            "fax_number": "772-286-4992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILSON ELITE SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-23",
        "last_updated": "2011-05-03",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "VIOLA",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "772-286-4982",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "691506096",
            "primary": true
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "691506098",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "691506096",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "691506098",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Azara Kazil Williams, RBT
• Dana Williams, APRN, PMHNP-BC
• Kelly Ann Williams, LMHC
• Lora Michelle Williams, BCBA
• Gina Lee Williamson
• Donald Wendell Wilson, M.D.
• Kristen Lee Wilson
• Sara A Wilson, ARNP
• Jordyn Taylor Winslade
• Kristin B Winter, MED., CCC/SLP

• Home Health Agency in Palm City, FL
• Providers in Palm City, FL by specialty
• Home Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2011; 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.