Wilson Home Health Service, LLC

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

WILSON HOME HEALTH SERVICE, LLC

Practice address

1015 Truman Rd
Suffolk, VA 23434-3634

Phone

(757) 277-2750

NPI assigned

Sep 29, 2017

Organization subpart

No

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

Authorized official

Name

Ms. Lennis Marie Wilson, BS, MS

Title

Chief Executive Officer

Phone

(757) 277-2750

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1506643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1134638422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1015 TRUMAN RD",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234343634",
            "telephone_number": "757-277-2750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 TRUMAN RD",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234343634",
            "telephone_number": "757-277-2750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILSON HOME HEALTH SERVICE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-29",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "LENNIS",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "757-277-2750",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "BS, MS"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stacy Champaigne Williams Jr., PA-C
• Tiffani Williams, DPT
• Tysie G Williams, PHARMD
• Rosa Finley Willie
• Jennifer Williford, CCC-SLP
• Amber Wilson, CNM
• Brett M Wilson, DDS
• Joseph Ross Wilson, DDS
• Shawn Anthony Wilson, D.O.
• Vershawnia Wilson

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Suffolk, VA
• Providers in Suffolk, VA by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.