TAHIRA WILSON (NPI# 1629677182) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629677182 |
| Entity Type | Individual |
| Full Name | TAHIRA WILSON |
| Credential | RN |
| Practice Address |
1521 66th Ave Philadelphia PA 19126-2766 |
| Mailing Address |
1925 Keith Rd Unit 9 Abington PA 19001-2628 |
| Practice Telephone | 2152376439 |
| Enumeration Date | 2020-10-25 |
| Last Update Date | 2020-10-25 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251B00000X | Case Management | Agencies | ||
| N | 251E00000X | Home Health | Agencies | ||
| N | 251G00000X | Hospice Care, Community Based | Agencies | ||
| N | 372500000X | Chore Provider | Nursing Service Related Providers | ||
| N | 372600000X | Adult Companion | Nursing Service Related Providers | ||
| N | 3747A0650X |
Technician Specialization: Attendant Care Provider |
Nursing Service Related Providers | ||
| N | 3747P1801X |
Technician Specialization: Personal Care Attendant |
Nursing Service Related Providers | ||
| N | 376J00000X | Homemaker | Nursing Service Related Providers | ||
| N | 385H00000X | Respite Care | Respite Care Facility | ||
| Y | 253Z00000X | In Home Supportive Care | Agencies | ||
| N | 251S00000X | Community/Behavioral Health | Agencies | ||
| N | 251T00000X | PACE Provider Organization | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 1038259300001 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831690064 | Tahira Amina Wilson | Social Worker | 11890 Fairhill Rd, Cleveland, OH 44120-1053 | 2018-02-22 |
| Street Address |
1521 66TH AVE |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19126-2766 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932709581 | Heart of Mine Home Care, LLC | Home Health | 1521 66th Ave, Philadelphia, PA 19126-2766 | 2020-10-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851917975 | Mildred Kenney | Social Worker | 1333 68th St, Philadelphia, PA 19126 | 2020-06-24 |
| 1639706823 | Southern Comfort Living | In Home Supportive Care | 6641 North Broad Street, Philadelphia, PA 19126 | 2020-03-26 |
| 1043759905 | Dawneisha Spratley | Community/Behavioral Health | 6726 N 18th St, Philadelphia, PA 19126 | 2017-02-13 |
| 1942751417 | Oaklane Pharmacy 1 LLC | Pharmacy | 6724 Old York Rd., Philadelphia, PA 19126 | 2016-10-20 |
| 1649728262 | Donna Chan | Pharmacist | 6744 N. 5th Street, Philadelphia, PA 19126 | 2016-09-12 |
| 1871976381 | Dena S Harris | Counselor | 7305 N 18th St, Phila, PA 19126 | 2015-07-01 |
| 1104128677 | Mental Health Partnerships | Community Based Residential Treatment Facility, Mental Illness | 1305 Oak Lane Avenue, Philadelphia, PA 19126 | 2010-12-03 |
| 1972665826 | Alfonso Clark | Dentist | 1344 66th Ave, Phila, PA 19126 | 2006-12-15 |
| 1013441906 | Chrisline Nicolas | Nurse Practitioner | 7101 Old York Rd, Philadelphia, PA 19126 | 2017-04-18 |
| 1215326541 | Erika Childs | Counselor | 6931 N 19th St, Philadelphia, PA 19126-1506 | 2015-01-09 |
| Find all providers in zip 19126 | ||||
| Taxonomy Code | 253Z00000X |
| Grouping | Agencies |
| Classification | In Home Supportive Care |
| An In Home Supportive Care Agency provides services in the patient’s home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves. |
| Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780285015 | Changing Lives With Solutions Home Care Agency LLC | In Home Supportive Care | 4700 City Ave Apt 9405, Philadelphia, PA 19131-8510 | 2020-11-03 |
| 1457952087 | Born Caregivers LLC | In Home Supportive Care | 2208 S Beechwood St, Philadelphia, PA 19145-3410 | 2020-11-02 |
| 1609476977 | Bona Fide Care Connections LLC | In Home Supportive Care | 6030 Chester Ave, Philadelphia, PA 19142-1411 | 2020-10-27 |
| 1902405434 | Art Care Home Health Care Agency LLC | In Home Supportive Care | 1409 W Master St Ste 107, Philadelphia, PA 19121-4339 | 2020-10-26 |
| 1851990717 | Edwards Direct Home Care Agency, LLC | In Home Supportive Care | 153 E Washington Ln, Philadelphia, PA 19144-2010 | 2020-10-21 |
| 1194324087 | Earnest Heart Home Care LLC | In Home Supportive Care | 1103 Glenview St Ste B, Philadelphia, PA 19111-4528 | 2020-10-21 |
| 1831798065 | Accomplished Home Care Services, LLC | In Home Supportive Care | 3434 Old York Rd, Philadelphia, PA 19140-5313 | 2020-10-19 |
| 1629676077 | It Starts At H.o.m.e. LLC | In Home Supportive Care | 3138 Tyson Ave, Philadelphia, PA 19149-2001 | 2020-10-16 |
| 1952909459 | Shania's Helper's Home Care | In Home Supportive Care | 645 E Woodlawn St, Philadelphia, PA 19144-1317 | 2020-10-15 |
| 1992303838 | Golding Home Care | In Home Supportive Care | 1937 E Pacific St, Philadelphia, PA 19134-1517 | 2020-10-13 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19126 |
Please comment or provide details below to improve the information on TAHIRA WILSON.
| 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.