Wilkerson Health Care Inc

Primary specialty

Public Health or Welfare AgencyTaxonomy code 251K00000X

License

0003794 Issued in MO

Legal business name

WILKERSON HEALTH CARE INC

Practice address

1636 Gravois Rd
High Ridge, MO 63049-2606

Phone

(636) 677-7759

NPI assigned

Feb 23, 2007

Organization subpart

No

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

Authorized official

Name

Erin K Bruce

Title

Ceo

Phone

(636) 677-7759

Specialties & licenses 1

Addresses

Other identifiers 2

Tax ID family

Wilkerson Health Care2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Wilkerson Health Care

  • In Home Supportive Care Agency
  • High Ridge, MO
  • NPI 1902959133
  NPD tax ID

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

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721779200000",
    "number": "1689709164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1770 GRAVOIS RD",
            "city": "HIGH RIDGE",
            "state": "MO",
            "postal_code": "630492625",
            "telephone_number": "636-677-7759",
            "fax_number": "636-677-3834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1636 GRAVOIS RD",
            "city": "HIGH RIDGE",
            "state": "MO",
            "postal_code": "630492606",
            "telephone_number": "636-677-7759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILKERSON HEALTH CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-23",
        "last_updated": "2024-07-24",
        "certification_date": "2024-07-24",
        "status": "A",
        "authorized_official_last_name": "BRUCE",
        "authorized_official_first_name": "ERIN",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "636-677-7759"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "MO",
            "license": "0003794",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "269790200",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "289790206",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Warrior Service Company LLC
• Courtney Watring, RD
• Shannon M Weatherby, M.A, CCC-SLP
• Regina M Whittington, MSW, LCSW
• Wilkerson Health Care
• Melinda Williams

• All providers in High Ridge, MO
• Public Health or Welfare Agency in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 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.