Wilshire Health and Community Services, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

050000487 Issued in CA

Legal business name

WILSHIRE HEALTH AND COMMUNITY SERVICES, INC.

Doing business as

Wilshire Home Health

Practice address

277 South St
Suite W
San Luis Obispo, CA 93401-5039

Phone

(805) 782-8600

Fax

(805) 782-6981

NPI assigned

Jul 8, 2005

Organization subpart

No

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

Authorized official

Name

Ms. Laurie Irene Smith

Title

Administrator

Phone

(805) 782-8600

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Wilshire Home Health Doing business as

Electronic endpoints 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Stephen Michael Grossman, M.D.

  • Geriatric Medicine (Internal Medicine) Physician
  • Fresno, CA
  • NPI 1942220926
  NPD (past)
• Ashley Hahn, LCSW

  • Clinical Social Worker
  • San Luis Obispo, CA
  • NPI 1447031091
  NPD (past)
• Kirsten Marie Towne, ASW

  • Social Worker
  • San Luis Obispo, CA
  • NPI 1861259319
  NPD (past)

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

{
    "created_epoch": "1120780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700179200000",
    "number": "1235137738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "277 SOUTH ST",
            "address_2": "SUITE W",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934015039",
            "telephone_number": "805-782-8600",
            "fax_number": "805-782-6981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "277 SOUTH ST",
            "address_2": "SUITE W",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934015039",
            "telephone_number": "805-782-8600",
            "fax_number": "805-782-6981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILSHIRE HEALTH AND COMMUNITY SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-08",
        "last_updated": "2023-11-17",
        "certification_date": "2023-11-17",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "LAURIE",
        "authorized_official_middle_name": "IRENE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "805-782-8600",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": "050000487",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HHA08079F",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL NUMBER",
            "identifier": "ZZZ615507",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.667.2",
            "affiliationName": "Ability Network",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "64 S Price Rd Ste B",
            "city": "Brownsville",
            "state": "TX",
            "country_code": "US",
            "postal_code": "785212459",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Wilshire Home Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Wilshire Home Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Haley Nicole Willment, M.A. CCC-SLP
• Wilshire Community Services
• Wilshire Community Services
• Wilshire Connected Care
• Wilshire Health and Community Services, Inc
• Camille Audrey Wilson
• Craig Michael Wilson
• Galen Wilson
• Hunter Col Wilson, BS
• Kaydee Breanne Wilson, BSN, RN

• Home Health Agency in San Luis Obispo, CA
• Providers in San Luis Obispo, CA by specialty
• Home Health Agency in California

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