Active NPI
Wilou Homecare Services LLC
Doing business as Home Support
- In Home Supportive Care Agency
- Waterford, CT
National Provider Identifier
1205595097
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- Legal business name
- WILOU HOMECARE SERVICES LLC
- Doing business as
- Home Support
- Practice address
- 163 Boston Post Rd Ste 2B
Waterford, CT 06385-2840 - Phone
- (877) 905-7542
- Fax
- (860) 321-1515
- NPI assigned
- Dec 9, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Wileine Juste, CSCM
- Title
- Owner
- Phone
- (877) 905-7542
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | |||
| In Home Supportive Care Agency | 253Z00000X | Primary |
Addresses
Primary practice location
163 Boston Post Rd Ste 2B
Waterford, CT 06385-2840
Mailing address
163 Boston Post Rd. Suite 2B
163 Boston Post Rd Suite 2B
Waterford, CT 06385-3504
Phone (203) 401-9918
Other names 1
- Home Support
National Provider Directory
National Provider Directory- Tax ID family
- Home Support
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Wilou Health Care Services
- In Home Supportive Care Agency
- Waterford, CT
- NPI 1326811043
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1639008000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1698969600000",
"number": "1205595097",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "163 BOSTON POST RD. SUITE 2B",
"address_2": "163 BOSTON POST RD SUITE 2B",
"city": "WATERFORD",
"state": "CT",
"postal_code": "063853504",
"telephone_number": "203-401-9918",
"fax_number": "860-321-1515"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "163 BOSTON POST RD STE 2B",
"city": "WATERFORD",
"state": "CT",
"postal_code": "063852840",
"telephone_number": "877-905-7542",
"fax_number": "860-321-1515"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WILOU HOMECARE SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-12-09",
"last_updated": "2023-11-03",
"certification_date": "2023-11-03",
"status": "A",
"authorized_official_last_name": "JUSTE",
"authorized_official_first_name": "WILEINE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "877-905-7542",
"authorized_official_credential": "CSCM"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"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": [
{
"organization_name": "Home Support",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Waterford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.