Wilson'S Home Care Agency

Primary specialty

Personal Care AttendantTaxonomy code 3747P1801X

License

HC2170 Issued in NC

Legal business name

WILSON'S HOME CARE AGENCY

Practice address

1528 So Evan St.
Siute M
Greenville, NC 27834-5311

Phone

(252) 353-8020

Fax

(252) 353-8040

NPI assigned

Feb 17, 2009

Organization subpart

No

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

Authorized official

Name

Mrs. Brenda Ann Wil;Son, RN

Title

Owner

Phone

(252) 244-3595

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Wilson'S Home Care Agency Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Wilson'S Home Care Agency, Inc.

  • Personal Care Attendant
  • Maysville, NC
  • NPI 1225277163
  NPD tax ID
• Wilson'S Home Care Agency, Inc.

  • Home Health Agency
  • Vanceboro, NC
  • NPI 1629093026
  NPD tax ID

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

{
    "created_epoch": "1234828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234915200000",
    "number": "1417196353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7914 MAIN ST.",
            "address_2": "PO BOX 1022",
            "city": "VANCEBORO",
            "state": "NC",
            "postal_code": "285861022",
            "telephone_number": "252-244-3595",
            "fax_number": "252-244-3163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1528 SO EVAN ST.",
            "address_2": "SIUTE M",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278345311",
            "telephone_number": "252-353-8020",
            "fax_number": "252-353-8040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILSON'S HOME CARE AGENCY",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-17",
        "last_updated": "2009-02-18",
        "status": "A",
        "authorized_official_last_name": "WIL;SON",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "252-244-3595",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician, Personal Care Attendant",
            "state": "NC",
            "license": "HC2170",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6600834",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Preston Wilson, DMD
• Shamariah Wilson
• Shawn Wilson, D.D.S.
• Theresa Russ Wilson, RN
• Tristin Reann Wilson, NP
• Jennifer Windham, MS, CCC-SLP
• Amber Parker Winfield, DPT
• Sarah Nicole Winnick, MSW, LCSW-A, LCAS-A
• Sherri Winslow
• Tucker Winslow

• Personal Care Attendant in Greenville, NC
• Providers in Greenville, NC by specialty
• Personal Care Attendant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2009; 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.