Organization Active NPI

Wilou Homecare Services LLC

Doing business as Home Support

  • In Home Supportive Care Agency
  • Waterford, CT
National Provider Identifier
1205595097
Registry record updated Nov 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
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

Updated by the provider on Nov 3, 2023

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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Home Support2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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.

Verify at the official NPI Registry.