Organization Active NPI

Wilson Ventures Inc.

  • In Home Supportive Care Agency
  • Watkinsville, GA
National Provider Identifier
1780407387
Registry record updated Nov 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
WILSON VENTURES INC.
Practice address
1150 Julian Dr Ste 100
Watkinsville, GA 30677-6012
Phone
(706) 534-9522
NPI assigned
Nov 4, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2024

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

Authorized official

Name
Bobby Wilson
Title
Owner
Phone
(706) 534-9522

Specialties & licenses 1

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

Addresses

Primary practice location

1150 Julian Dr Ste 100
Watkinsville, GA 30677-6012

Mailing address

1150 Julian Dr Ste 100
Watkinsville, GA 30677-6012
Phone (706) 534-9522

Other practice location 1

1140 Starboard Dr
Greensboro, GA 30642-4189
Phone (678) 632-8804

Other names 1

  • Amada Senior Care Athens Doing business as

National Provider Directory

National Provider Directory

Locations

1150 Julian Dr
Ste 100
Watkinsville, GA 30677
Phone (706) 534-9522

NPI Registry JSON

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

{
    "created_epoch": "1730678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730764800000",
    "number": "1780407387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 JULIAN DR STE 100",
            "city": "WATKINSVILLE",
            "state": "GA",
            "postal_code": "306776012",
            "telephone_number": "706-534-9522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 JULIAN DR STE 100",
            "city": "WATKINSVILLE",
            "state": "GA",
            "postal_code": "306776012",
            "telephone_number": "706-534-9522"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1140 Starboard Dr",
            "address_purpose": "LOCATION",
            "city": "Greensboro",
            "state": "GA",
            "postal_code": "306424189",
            "country_code": "US",
            "telephone_number": "678-632-8804",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WILSON VENTURES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-04",
        "last_updated": "2024-11-05",
        "certification_date": "2024-11-05",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "BOBBY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "706-534-9522"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Amada Senior Care Athens",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Amada Senior Care Athens",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Watkinsville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 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.