Cyndraanita Wilson

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Practice address

1140 S 15TH St
Philadelphia, PA 19146-3141

Phone

(215) 545-2273

NPI assigned

Aug 6, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Cyndraanita Wilson Homecare Agency, LLC

  • Home Health Agency
  • Philadelphia, PA
  • NPI 1184351363
  NPD Authorized official

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

{
    "created_epoch": "1659744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659744000000",
    "number": "1306573589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1140 S 15TH ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191463141",
            "telephone_number": "215-545-2273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 S 15TH ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191463141",
            "telephone_number": "215-545-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "CYNDRAANITA",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-06",
        "last_updated": "2022-08-06",
        "certification_date": "2022-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103944950-0001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christopher Wilson, LMFT
• Cindy Ann Wilson, CPNP
• Clara Wilson
• Consuela M Wilson
• Curtis Lee Wilson, LMFT
• David D Wilson, MD
• David Nicholas Wilson
• Deneen Marguerite Wilson
• Elizabeth Wilson, CRNP
• Elizabeth Cathryn Wilson

• In Home Supportive Care Agency in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• In Home Supportive Care Agency in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2022; 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.