Active NPI
Wilson in Home, Inc.
- Nursing Care Agency
- Honolulu, HI
National Provider Identifier
1285727966
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nursing Care Agency
- Legal business name
- WILSON IN HOME, INC.
- Practice address
- 711 Kapiolani Blvd Ste 450
Honolulu, HI 96813-5237 - Phone
- (808) 596-4486
- Fax
- (808) 356-1531
- NPI assigned
- Oct 2, 2006
- 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
- Shelley Wilson
- Title
- President
- Phone
- (808) 596-4486
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmentally Disabled Services Day Training Agency | 251C00000X | |||
| Nursing Care Agency | 251J00000X | Primary | ||
| In Home Supportive Care Agency | 253Z00000X |
Addresses
Primary practice location
711 Kapiolani Blvd Ste 450
Honolulu, HI 96813-5237
Mailing address
PO Box 2058
Honolulu, HI 96805-2058
Phone (808) 596-4486
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 533473-01 | Other | HI | MEDICAID EPSDT |
| 505430-01 | Medicaid | HI |
Other names 1
- Wilson Homecare
National Provider Directory
National Provider Directory- Tax ID family
- Wilson Homecare
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- In Home Supportive Care Agency
- Honolulu, HI
- NPI 1669052163
-
- Home Health Agency
- Honolulu, HI
- NPI 1942836119
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159747200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1718755200000",
"number": "1285727966",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2058",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968052058",
"telephone_number": "808-596-4486",
"fax_number": "808-596-4822"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "711 KAPIOLANI BLVD STE 450",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968135237",
"telephone_number": "808-596-4486",
"fax_number": "808-356-1531"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WILSON IN HOME, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-02",
"last_updated": "2024-06-19",
"certification_date": "2024-06-19",
"status": "A",
"authorized_official_last_name": "WILSON",
"authorized_official_first_name": "SHELLEY",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "808-596-4486"
},
"taxonomies": [
{
"code": "251C00000X",
"taxonomy_group": "",
"desc": "Day Training, Developmentally Disabled Services",
"state": null,
"license": null,
"primary": false
},
{
"code": "251J00000X",
"taxonomy_group": "",
"desc": "Nursing Care",
"state": null,
"license": null,
"primary": true
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID EPSDT",
"identifier": "533473-01",
"state": "HI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "505430-01",
"state": "HI"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Wilson Homecare",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Wilson Homecare",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Honolulu, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.