Wilkerson Health Care

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

WILKERSON HEALTH CARE

Practice address

1770 Gravois Rd
High Ridge, MO 63049-2625

Phone

(636) 677-7759

NPI assigned

Jan 19, 2007

Last updated

Jul 24, 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

Erin K Bruce

Title

Ceo/Owner

Phone

(636) 677-7759

Specialties & licenses 2

Addresses

Other identifiers 4

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 Inc

  • Public Health or Welfare Agency
  • High Ridge, MO
  • NPI 1689709164
  NPD tax ID

Locations

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721779200000",
    "number": "1902959133",
    "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": "1770 GRAVOIS RD",
            "city": "HIGH RIDGE",
            "state": "MO",
            "postal_code": "630492625",
            "telephone_number": "636-677-7759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILKERSON HEALTH CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-19",
        "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/OWNER",
        "authorized_official_telephone_number": "636-677-7759"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "MO",
            "license": "0003794",
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "289790206",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1902959133",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1689709164",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "269790200",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Walgreen Co (Walgreens #04702)
• Warrior Service Company LLC
• Courtney Watring, RD
• Shannon M Weatherby, M.A, CCC-SLP
• Regina M Whittington, MSW, LCSW
• Wilkerson Health Care Inc
• Melinda Williams

• In Home Supportive Care Agency in High Ridge, MO
• Providers in High Ridge, MO by specialty
• In Home Supportive Care 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.