Organization Active NPI

Stovall Wilson Home Care

  • Community Based Hospice Care Agency
  • Palmdale, CA
National Provider Identifier
1336178292
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
STOVALL WILSON HOME CARE
Practice address
190 Sierra CT
Ste. B 217
Palmdale, CA 93550-7607
Phone
(661) 273-3755
Fax
(661) 273-3755
NPI assigned
Jul 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Sandra Denniese Stovall Wilson, LVNNPI 1811996515
Title
Administrator
Phone
(661) 273-3755

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X
Community Based Hospice Care Agency 251G00000X Primary
Nursing Care Agency 251J00000X
Private Vehicle 347C00000X

Addresses

Primary practice location

190 Sierra CT
Ste. B 217
Palmdale, CA 93550-7607

Mailing address

190 Sierra CT
Ste. B 217
Palmdale, CA 93550-7607
Phone (661) 273-3755

National Provider Directory

National Provider Directory

Locations

190 Sierra Ct
Ste B217
Palmdale, CA 93550
Phone (661) 273-3755

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1151798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1336178292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 SIERRA CT",
            "address_2": "STE. B 217",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935507607",
            "telephone_number": "661-273-3755",
            "fax_number": "661-273-3755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 SIERRA CT",
            "address_2": "STE. B 217",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935507607",
            "telephone_number": "661-273-3755",
            "fax_number": "661-273-3755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STOVALL WILSON HOME CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-02",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "STOVALL WILSON",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "DENNIESE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "661-273-3755",
        "authorized_official_credential": "LVN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palmdale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.