Wilson's Home Care Agency, Inc.

Primary specialty

Personal Care AttendantTaxonomy code 3747P1801X

License

HC2067 Issued in NC

Legal business name

WILSON'S HOME CARE AGENCY, INC.

Practice address

506 Main St.
Maysville, NC 28555-0331

Phone

(910) 743-0320

Fax

(910) 743-0322

NPI assigned

Feb 17, 2009

Last updated

Feb 17, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Brenda Ann Wilson, RN

Title

Owner

Phone

(252) 244-3595

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Wilson's Home Care Agency Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Wilson's Home Care Agency

  • Personal Care Attendant
  • Greenville, NC
  • NPI 1417196353
  NPD tax ID
• Wilson's Home Care Agency, Inc.

  • Home Health Agency
  • Vanceboro, NC
  • NPI 1629093026
  NPD tax ID

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

{
    "created_epoch": "1234828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234828800000",
    "number": "1225277163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7914 MAIN ST.",
            "address_2": "PO BOX 1002",
            "city": "VANCEBORO",
            "state": "NC",
            "postal_code": "285861022",
            "telephone_number": "252-244-3595",
            "fax_number": "252-244-3163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "506 MAIN ST.",
            "city": "MAYSVILLE",
            "state": "NC",
            "postal_code": "285550331",
            "telephone_number": "910-743-0320",
            "fax_number": "910-743-0322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILSON'S HOME CARE AGENCY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-17",
        "last_updated": "2009-02-17",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "252-244-3595",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": "NC",
            "license": "HC2067",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6600785",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sue a. Minneman-Fowler, DDS, PLLC
• Sunshine for Life LLC
• Trinity Adult Care Home
• Alaina Christine Weddle, RD
• Christina Marie Williams, MS CCC-SLP

• Personal Care Attendant in Maysville, NC
• Providers in Maysville, NC by specialty
• Personal Care Attendant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2009; 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.