Erlyn N Wilson

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Practice address

615 S Saginaw St Ste 3009
Flint, MI 48502-1505

Phone

(810) 627-8192

NPI assigned

Nov 23, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Electronic endpoints 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1606089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606089600000",
    "number": "1972107696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 S SAGINAW ST STE 3009",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485021505",
            "telephone_number": "810-627-8192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 S SAGINAW ST STE 3009",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485021505",
            "telephone_number": "810-627-8192"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6823 Jefferson Rd",
            "address_purpose": "LOCATION",
            "city": "North Branch",
            "state": "MI",
            "postal_code": "484619301",
            "country_code": "US",
            "telephone_number": "810-627-8192",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILSON",
        "first_name": "ERLYN",
        "middle_name": "N",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-23",
        "last_updated": "2020-11-23",
        "certification_date": "2020-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "372500000X",
            "taxonomy_group": "",
            "desc": "Chore Provider",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "372600000X",
            "taxonomy_group": "",
            "desc": "Adult Companion",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Computer",
            "affiliation": "N",
            "endpointDescription": "Desktop",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "615 S Saginaw St Ste 3009",
            "city": "Flint",
            "state": "MI",
            "country_code": "US",
            "postal_code": "485021505",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Computer",
            "affiliation": "N",
            "endpointDescription": "Desktop",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "6823 Jefferson Rd",
            "city": "North Branch",
            "state": "MI",
            "country_code": "US",
            "postal_code": "484619301",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Amy Marie Wilson, A-GNP-C
• Brian Wilson
• David Scott Wilson, RN
• Debbie Ann Wilson, ICADC, CCS-DP-S
• Demmetria Wilson, CNA
• Gregory Wilson, BS, RSW, CPS
• Heather Marie Wilson
• Holly Wilson
• Jamere Wilson
• Jeffrey Dale Wilson

• In Home Supportive Care Agency in Flint, MI
• Providers in Flint, MI by specialty
• In Home Supportive Care Agency in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 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.