Wilson Care Homes LLC

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

WILSON CARE HOMES LLC

Practice address

6703 Stonecross Creek LN
Katy, TX 77449

Phone

(346) 978-1996

NPI assigned

Sep 9, 2024

Last updated

Sep 9, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ebony Bangura, RN

Title

Program Manager

Phone

(346) 978-1996

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1725840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725840000000",
    "number": "1457187346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6703 STONECROSS CREEK LN",
            "city": "KATY",
            "state": "TX",
            "postal_code": "77449",
            "telephone_number": "346-978-1996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6703 STONECROSS CREEK LN",
            "city": "KATY",
            "state": "TX",
            "postal_code": "77449",
            "telephone_number": "346-978-1996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILSON CARE HOMES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-09",
        "last_updated": "2024-09-09",
        "certification_date": "2024-09-09",
        "status": "A",
        "authorized_official_last_name": "BANGURA",
        "authorized_official_first_name": "EBONY",
        "authorized_official_title_or_position": "PROGRAM MANAGER",
        "authorized_official_telephone_number": "346-978-1996",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tiyana Williford
• Ayanna Willis, RBT
• Chauntel Willis
• Shalonda Willis, REGISTERED NURSE
• Willy Pezzia MD PA
• Daniel Wilson Durruty, SA-C
• Caroline Wilson
• Melissa L Wilson, D. D. S.
• Quaisha Wilson
• Ruth C Wilson, LPC CAS

• Case Management Agency in Katy, TX
• Providers in Katy, TX by specialty
• Case Management Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 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.

Verify at the official NPI Registry.