NPIMap

Organization Active NPI

Wilson Estate Home Health Care LLC

  • Home Health Agency
  • Cincinnati, OH
National Provider Identifier
1902401169
Registry record updated Dec 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
WILSON ESTATE HOME HEALTH CARE LLC
Practice address
5554 Cheviot Rd
Cincinnati, OH 45247-7039
Phone
(513) 873-8808
Fax
(513) 873-8507
NPI assigned
Dec 3, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2020

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

Authorized official

Name
Symone Nichole WilsonNPI 1881044626
Title
President
Phone
(513) 873-8808

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

5554 Cheviot Rd
Cincinnati, OH 45247-7039

Mailing address

5554 Cheviot Rd
Cincinnati, OH 45247-7039
Phone (513) 873-8808

Other identifiers 1

IdentifierTypeStateIssuer
3124876MedicaidOH

Other names 1

  • Wilson Estate home health care LLC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Wilson Estate Home Health Care LLC2 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.

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1606953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606953600000",
    "number": "1902401169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5554 CHEVIOT RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452477039",
            "telephone_number": "513-873-8808",
            "fax_number": "513-873-8507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5554 CHEVIOT RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452477039",
            "telephone_number": "513-873-8808",
            "fax_number": "513-873-8507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILSON ESTATE HOME HEALTH CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-03",
        "last_updated": "2020-12-03",
        "certification_date": "2020-12-03",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "SYMONE",
        "authorized_official_middle_name": "NICHOLE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "513-873-8808"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3124876",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wilson Estate home health care LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2020; 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.