WILSON'S HOME CARE AGENCY


Address: 1528 So Evan St., Siute M, Greenville, NC 27834-5311
Phone: 2523538020

WILSON'S HOME CARE AGENCY (NPI# 1417196353) 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) 1417196353
Entity Type Organization
Organization Name WILSON'S HOME CARE AGENCY
Practice Address 1528 So Evan St.
Siute M
Greenville
NC 27834-5311
Mailing Address 7914 Main St.
Po Box 1022
Vanceboro
NC 28586-1022
Practice Telephone 2523538020
Practice Fax Number 2523538040
Mailing Telephone 2522443595
Mailing Fax Number 2522443163
Enumeration Date 2009-02-17
Last Update Date 2009-02-18
Authorized Official Name MRS. BRENDA ANN WIL;SON (OWNER)
Authorized Official Telephone 2522443595
Authorized Official Credential RN
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 3747P1801X Technician
Specialization: Personal Care Attendant
HC2170 NC Nursing Service Related Providers

Other Provider Identifier

State Issuer Identifier Type Code
NC 6600834 05

Office Location

Street Address 1528 SO EVAN ST.
SIUTE M
City GREENVILLE
State NC
Zip Code 27834-5311

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1427687789 Brandon Allen Yates Student in an Organized Health Care Education/Training Program 435 Clinic Drive, Greenville, NC 27834 2020-04-07
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Taxonomy Information

Taxonomy Code 3747P1801X
Grouping Nursing Service Related Providers
Classification Technician
Specialization Personal Care Attendant

Taxonomy Definition

An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards
Notes: [7/1/2003: definition added]

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NPI Name Taxonomy Address Enumeration
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1871959676 Anne Stewart Technician 615 Hunts Bridge Rd Lot 30, Greenville, SC 29617-1435 2016-01-08
1447305651 Ultimate Home Health Care Technician 3011 S Memorial Dr Ste 6, Greenville, NC 27834-6238 2007-01-25
1962555441 Yolonda L Geis Technician 7884 N State Route 49, Greenville, OH 45331-9318 2007-01-19
1205168168 Designing The Future Home Care, Inc. Technician 313 Clifton St, Suite D, Greenville, NC 27858-5008 2010-02-03
1790011542 Machell Bell Clark Technician 3011 S Memorial Dr, Suite 7, Greenville, NC 27834-6238 2009-10-29
1437288420 Wayne County Health Center Technician 115 Hickory Street, Greenville, MO 63944-0259 2007-03-05

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1508404120 Annette Williams Technician 118 Gunn Poole Rd, Mebane, NC 27302-8476 2019-12-13
1811451891 Jamie Flynn Technician 2476 Johnsontown Rd, Thomasville, NC 27360-7596 2019-01-24
1043783517 Carol Ann Carrodus Technician 135 Brevard St, Winston Salem, NC 27101-2204 2019-01-08
1588146013 Giselle Mumayamona Bwensa Technician 21 Hawthorne Ln, Youngsville, NC 27596-2083 2018-08-31
1538640628 Donnell Corey Brown Jr. Technician 519 Orchard Drive, Eden, NC 27288 2018-08-27
1174027197 Robin Kecia Mann Technician 5044 George Miles Road, Burlington, NC 27217 2018-03-23
1245756634 Nykysha Bethea Technician 3002 Greystone Pt Apt H, Greensboro, NC 27410-8944 2017-08-17
1922464353 Shavon Land Technician 1323 Spruce St, Charlotte, NC 28203-4670 2016-01-14
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Competitor

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City GREENVILLE
Zip Code 27834

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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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