NPIMap

Organization Active NPI

Wilson in Home, Inc.

  • In Home Supportive Care Agency
  • Honolulu, HI
National Provider Identifier
1669052163
Registry record updated Jun 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
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
Apr 9, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2024

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

Authorized official

Name
Shelley Wilson
Title
Owner/President
Phone
(808) 596-4486

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

711 Kapiolani Blvd Ste 450
Honolulu, HI 96813-5237

Mailing address

PO Box 2058
Honolulu, HI 96805-2058

Other names 1

  • Wilson Homecare Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Wilson Homecare3 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.

Locations

711 Kapiolani Blvd
Ste 450
Honolulu, HI 96813
Phone (808) 596-4486

NPI Registry JSON

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

{
    "created_epoch": "1617926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718755200000",
    "number": "1669052163",
    "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"
        },
        {
            "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": "2021-04-09",
        "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": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "808-596-4486"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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.

Verify at the official NPI Registry.