SHARON WILSON (NPI# 1134557564) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134557564 |
| Entity Type | Individual |
| Full Name | SHARON WILSON |
| Practice Address |
67223 M 43 South Haven MI 49090-8748 |
| Practice Telephone | 2696391441 |
| Mailing Telephone | 2696391441 |
| Enumeration Date | 2013-10-22 |
| Last Update Date | 2013-10-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 311ZA0620X |
Custodial Care Facility Specialization: Adult Care Home |
AF800244794 | MI | Nursing & Custodial Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548884786 | Sharon Denise Wilson | Home Health Aide | 2513 Church St, Lakemore, OH 44250-9540 | 2020-06-03 |
| 1184188286 | Sharon Wilson | Specialist/Technologist | 4116 Conner Dr, Florence, SC 29501-8697 | 2019-01-23 |
| 1427553262 | Sharon Rose Wilson | Licensed Practical Nurse | 10225 Tripp Rd, Pittsford, MI 49271-9795 | 2018-03-26 |
| 1548794902 | Sharon Thompson Wilson | Marriage & Family Therapist | 509 4th St Ste A, Davis, CA 95616-4152 | 2017-04-12 |
| 1902345283 | Sharon Wilson | Massage Therapist | 15301 Maple Valley Hwy Ste 300, Renton, WA 98058-8128 | 2017-02-20 |
| 1578935052 | Sharon Wilson | Speech-Language Pathologist | 10609 W Ih 10, Suite 105, San Antonio, TX 78230-1672 | 2015-10-23 |
| 1316366248 | Sharon Grey Wilson | Social Worker | 1150 Cherry Creek Rd, Meadows of Dan, VA 24120-3870 | 2014-04-08 |
| 1861704553 | Sharon Lynn Wilson | Physical Therapist | 2103 Archwood Ct, Oviedo, FL 32765-6138 | 2010-07-09 |
| 1376870188 | Sharon Wilson | Specialist | 801 S Harrison St, West, TX 76691-1727 | 2009-11-16 |
| 1275706145 | Sharon Denise Wilson | Speech-Language Pathologist | 109 Graveyard Rock Rd, Santee, SC 29142-8680 | 2008-04-10 |
| Street Address |
67223 M 43 |
| City | SOUTH HAVEN |
| State | MI |
| Zip Code | 49090-8748 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295234490 | Katara Therapy, LLC | Social Worker | 13560 76th Street, Suite 3, South Haven, MI 49090 | 2018-02-03 |
| 1487022091 | Kevin E. Ferrell | Physician Assistant | 955 S. Bailey Avenue, South Haven, MI 49090 | 2015-09-14 |
| 1942638002 | Birdie Farley | Chore Provider | 26725 M-140 Hwy, South Haven, MI 49090 | 2013-10-28 |
| 1730514910 | Rebecca A. Bennett | Counselor | 1675 Phoenix Road, Suite 9, South Haven, MI 49090 | 2013-09-06 |
| 1902149818 | Bronson South Haven Hospital | Emergency Medicine | 970 S Bailey Ave, South Haven, MI 49090 | 2013-03-28 |
| 1265629927 | Cecilia Liz Vives Vasquez | Physical Therapist | 23701 Red Arrow Hwy, Mattawan, MI 49090 | 2007-09-26 |
| 1518089788 | Donald Jam,es Buckley | Pharmacist | 955 S Bailey, South Haven, MI 49090 | 2007-04-06 |
| 1366568966 | Norman M Maly | Dentist | 05055 Blue Star Hwy, South Haven, MI 49090 | 2007-03-22 |
| 1639264062 | Deborah Sue Distefano | Pharmacy Technician | 512 Phoenix Street, South Haven, MI 49090 | 2006-10-03 |
| 1053357897 | Stephen Earl Tolen | Chiropractor | 325 Superior St., South Haven, MI 49090 | 2006-06-21 |
| Find all providers in zip 49090 | ||||
| Taxonomy Code | 311ZA0620X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Custodial Care Facility |
| Specialization | Adult Care Home |
| A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871974089 | Turner Tender Care | Custodial Care Facility | 10871 68th St, South Haven, MI 49090-8729 | 2015-06-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881201267 | Living Waters Buell Lake | Custodial Care Facility | 13515 N Genesee Rd, Clio, MI 48420-9190 | 2020-09-29 |
| 1063028694 | Zcare | Custodial Care Facility | 8676 Auburn St, Detroit, MI 48228-2919 | 2020-09-18 |
| 1306452917 | Caring Hearts Afc | Custodial Care Facility | 1029 Westmoreland Ave, Kalamazoo, MI 49006-5567 | 2020-09-18 |
| 1790397594 | St. Ruth's House of Hope LLC | Custodial Care Facility | 3100 S Electric St, Detroit, MI 48217-1133 | 2020-08-21 |
| 1497364442 | Bolton Brook Manor | Custodial Care Facility | 4554 Thomas Rd, Metamora, MI 48455-9220 | 2020-07-27 |
| 1578171104 | Dream Housing Opportunities LLC | Custodial Care Facility | 304 Wetmore St, Howell, MI 48843-1559 | 2020-07-20 |
| 1194343046 | Creekside Place, Inc. | Custodial Care Facility | 7251 N Briarcliff Knoll Dr, West Bloomfield, MI 48322-4049 | 2020-07-08 |
| 1174140420 | Linda Perrault | Custodial Care Facility | 1551 S Hickory Ridge Rd, Milford, MI 48380-1519 | 2020-07-02 |
| 1063039923 | Visel Afc, Inc. | Custodial Care Facility | 6565 Whitneyville Ave Se, Alto, MI 49302-9027 | 2020-06-26 |
| 1982226775 | August Winter House, Inc. | Custodial Care Facility | 2111 N Latson Rd, Howell, MI 48855-9750 | 2020-05-14 |
| Find all providers with the same taxonomy | ||||
| City | SOUTH HAVEN |
| Zip Code | 49090 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.