Wilshire Supportive Living Home

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

WILSHIRE SUPPORTIVE LIVING HOME

Practice address

937 Maple Dr
Memphis, TN 38108-3230

Phone

(901) 215-4387

NPI assigned

Feb 18, 2025

Organization subpart

No

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

Authorized official

Name

Mr. Alfred Michael Moore, BSW

Title

Director

Phone

(901) 215-4387

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1739836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739836800000",
    "number": "1972308344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4345 OAK CHASE CV",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381252912",
            "telephone_number": "901-215-4387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "937 MAPLE DR",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381083230",
            "telephone_number": "901-215-4387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILSHIRE SUPPORTIVE LIVING HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-18",
        "last_updated": "2025-02-18",
        "certification_date": "2025-02-17",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "ALFRED",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "901-215-4387",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "BSW"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Willowbrook Foundation
• Christina Wallace Wills
• J Whitley Wills, DDS
• Gordon L. Wills, Jr, DDS
• Andrew Nathan Wilner, M.D.
• Alicia Verona Wilson, NP
• Amy Kelm Wilson, A.N.P
• Andria Wilson, MS, LPC-MHSP, CET1
• April L Wilson
• April Rena Wilson, MLS

• In Home Supportive Care Agency in Memphis, TN
• Providers in Memphis, TN by specialty
• In Home Supportive Care Agency in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2025; 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.