Patricia Wilson Home Health LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

PATRICIA WILSON HOME HEALTH LLC

Practice address

9746 Harlington St
Cantonment, FL 32533-4530

Phone

(850) 760-7103

Fax

(850) 857-1976

NPI assigned

Feb 6, 2017

Organization subpart

No

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

Authorized official

Name

Ms. Patricia Denise Wilson

Title

Owner

Phone

(850) 760-7103

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1486339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486339200000",
    "number": "1265970628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9746 HARLINGTON ST.",
            "city": "CANTONMENT",
            "state": "FL",
            "postal_code": "32533",
            "telephone_number": "850-760-7103",
            "fax_number": "850-857-1976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9746 HARLINGTON ST",
            "city": "CANTONMENT",
            "state": "FL",
            "postal_code": "325334530",
            "telephone_number": "850-760-7103",
            "fax_number": "850-857-1976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRICIA WILSON HOME HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-06",
        "last_updated": "2017-02-06",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "DENISE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "850-760-7103",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2017; 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.