WILSON IN HOME, INC.


Address: 1221 Kapiolani Blvd, Suite 940, Honolulu, HI 96814-3503
Phone: 8085964486

WILSON IN HOME, INC. (NPI# 1285727966) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1285727966
Entity Type Organization
Organization Name WILSON IN HOME, INC.
Other Organization Name WILSON HOMECARE
Practice Address 1221 Kapiolani Blvd
Suite 940
Honolulu
HI 96814-3503
Mailing Address Po Box 2058
Honolulu
HI 96805-2058
Practice Telephone 8085964486
Practice Fax Number 8085964482
Mailing Telephone 8085964486
Mailing Fax Number 8085964822
Enumeration Date 2006-10-02
Last Update Date 2020-03-16
Authorized Official Name SHELLEY WILSON (PRESIDENT)
Authorized Official Telephone 8085964486
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251J00000X Nursing Care Agencies

Other Provider Identifier

State Issuer Identifier Type Code
HI MEDICAID EPSDT 533473-01 01
HI 505430-01 05

Other Provider/Organization Names

Other Name Type Code
Wilson Homecare Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1942836119 Wilson In Home, Inc. Home Health 1221 Kapiolani Blvd Ste 940, Honolulu, HI 96814-3502 2020-03-19

Office Location

Street Address 1221 KAPIOLANI BLVD
SUITE 940
City HONOLULU
State HI
Zip Code 96814-3503

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Taxonomy Information

Taxonomy Code 251J00000X
Grouping Agencies
Classification Nursing Care

Taxonomy Definition

A Nursing Care Agency is an entity that provides skilled nursing care through the services of a Registered Nurse (RN) or a Licensed Practical Nurse (LPN), by employees, contracted individuals, or via a registry, in a variety of settings. The agency may engage in providing private duty nursing and/or staffing services.
Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: modified definition]

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Competitor

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City HONOLULU
Zip Code 96814

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Dataset Information

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.

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