Organization Active NPI

Wimba LLC

Doing business as Visiting Angels

  • In Home Supportive Care Agency
  • Fairview, NC
National Provider Identifier
1932046372
Registry record updated May 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
WIMBA LLC
Doing business as
Visiting Angels
Practice address
34 Windsong Dr
Fairview, NC 28730-9700
Phone
(828) 412-1013
NPI assigned
May 4, 2026
Last updated
May 4, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2026

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

Authorized official

Name
Mr. Jerome Bouillon
Title
Owner Director
Phone
(828) 412-1013

Specialties & licenses 1

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

Addresses

Primary practice location

34 Windsong Dr
Fairview, NC 28730-9700

Mailing address

34 Windsong Dr
Fairview, NC 28730-9700
Phone (828) 412-1013

Other names 1

  • Visiting Angels Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1777852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777852800000",
    "number": "1932046372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 WINDSONG DR",
            "city": "FAIRVIEW",
            "state": "NC",
            "postal_code": "287309700",
            "telephone_number": "828-412-1013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 WINDSONG DR",
            "city": "FAIRVIEW",
            "state": "NC",
            "postal_code": "287309700",
            "telephone_number": "828-412-1013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WIMBA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-04",
        "last_updated": "2026-05-04",
        "certification_date": "2026-05-03",
        "status": "A",
        "authorized_official_last_name": "BOUILLON",
        "authorized_official_first_name": "JEROME",
        "authorized_official_title_or_position": "OWNER DIRECTOR",
        "authorized_official_telephone_number": "828-412-1013",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Visiting Angels",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fairview, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2026; 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.