JAMES WILSON (NPI# 1992369102) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992369102 |
| Entity Type | Individual |
| Full Name | JAMES WILSON |
| Practice Address |
15986 W Main St Louisville MS 39339-2636 |
| Mailing Address |
Po Box 5101 Jackson MS 39296-5101 |
| Practice Telephone | 6627055111 |
| Enumeration Date | 2019-04-24 |
| Last Update Date | 2019-04-24 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 310400000X | Assisted Living Facility | Nursing & Custodial Care Facilities | ||
| Y | 3104A0625X |
Assisted Living Facility Specialization: Assisted Living, Mental Illness |
Nursing & Custodial Care Facilities | ||
| N | 311ZA0620X |
Custodial Care Facility Specialization: Adult Care Home |
Nursing & Custodial Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841778735 | James Wilson | Contractor | 827 Highway 82 W, Greenville, MS 38701-5715 | 2018-08-01 |
| 1396246617 | James Wilson | Home Health Aide | 2052 Miles Woods Dr, Cincinnati, OH 45231-2150 | 2018-02-22 |
| 1942712781 | James Wilson | Technician | 41 Underwood St Nw, Washington, DC 20012-2115 | 2017-11-02 |
| 1366992158 | James Earl Wilson | Licensed Practical Nurse | 62 W Garden Dr, Rochester, NY 14606-4707 | 2016-10-05 |
| 1013463520 | James Wilson | Specialist/Technologist | 2117 Franklin Dr, North Augusta, SC 29841-9263 | 2016-08-26 |
| 1013360270 | James Wilson | Specialist/Technologist | 1001 E Fm 2410 Rd, Harker Heights, TX 76548-6845 | 2016-07-22 |
| 1134516644 | James Wilson | Occupational Therapy Assistant | 3903 Whirlwind St, Bryant, AR 72022-6710 | 2015-04-22 |
| 1205268000 | James William Wilson | Massage Therapist | 8219 River Country Dr, Weeki Wachee, FL 34607-2137 | 2013-08-02 |
| 1083050850 | James R Wilson | Physical Medicine & Rehabilitation | 4229 Pearl Rd # N2.42, Cleveland, OH 44109-4218 | 2013-05-20 |
| 1538444161 | James Edwin Wilson | Counselor | 1358 Sale Ave, Louisville, KY 40215-1907 | 2011-10-14 |
| Street Address |
15986 W MAIN ST |
| City | LOUISVILLE |
| State | MS |
| Zip Code | 39339-2636 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972149573 | Thomas Cefalu | Pharmacist | 16575 E Main St, Louisville, MS 39339 | 2019-11-19 |
| 1720506371 | Jennifer Marie Burns | Physical Therapist | 110 N Walmart Drive Suite F, Louisville, MS 39339 | 2017-09-05 |
| 1326409335 | Courtney Nicole Shaw | Speech-Language Pathologist | 316 Rocky Hill Road, Louisville, MS 39339 | 2016-03-18 |
| 1033598503 | Winston Medical Clinic LLC | Clinic/Center | 16569 W Main St, Louisville, MS 39339 | 2015-05-29 |
| 1689969735 | Adam C Byrd | Dermatology | 313 N Court Ave, Ummc Dermatology - Louisville Clinic, Louisville, MS 39339 | 2011-06-16 |
| 1356587208 | Louisville Healthcare LLC | Skilled Nursing Facility | 543 East Main Street, Louisville, MS 39339 | 2008-12-24 |
| 1699935908 | Stephen Eugene Hunter | Emergency Medicine | 100 Ellie Smith Rd, Louisville, MS 39339 | 2008-06-10 |
| 1669566279 | Southern Pharmaceutical Corporation | Durable Medical Equipment & Medical Supplies | 17220 E Main St Ste C, Louisville, MS 39339 | 2006-10-03 |
| 1184737017 | Louisville Eye Care | Optometrist | 500 North Church, Louisville, MS 39339 | 2006-08-16 |
| 1679583249 | Raymond John Orgler | Surgery | 547 E. Main St, Louisville, MS 39339 | 2006-08-08 |
| Find all providers in zip 39339 | ||||
| Taxonomy Code | 3104A0625X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| Specialization | Assisted Living, Mental Illness |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194919548 | Hardin Housing Corp | Assisted Living Facility | 2035 S 41st St, Louisville, KY 40211 | 2007-08-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679134183 | Sunset Residential Center LLC | Assisted Living Facility | 20114b Highway 18, Hermanville, MS 39086-9747 | 2019-06-25 |
| 1740756758 | Alfred Conway Porter | Assisted Living Facility | 3201 Hollywood Ave, Jackson, MS 39213-6754 | 2018-10-17 |
| 1427535491 | Carnell Kitchens | Assisted Living Facility | 585 E Beasley Rd, Jackson, MS 39206-3044 | 2018-07-23 |
| 1831556331 | Falcon Crest Personal Care Assisted Living | Assisted Living Facility | 4 Falcon Ln, Hattiesburg, MS 39401-9350 | 2016-01-28 |
| 1780096586 | Rest Haven | Assisted Living Facility | 686 County Road 370, Enterprise, MS 39330-9727 | 2014-05-28 |
| 1811232135 | Fondren Cove Relay, Inc. | Assisted Living Facility | 4520 N State St, Jackson, MS 39206-5307 | 2012-11-28 |
| 1376893842 | In Loving Arms LLC | Assisted Living Facility | 83 White Chapel Road, Carriere, MS 39426-8778 | 2012-09-12 |
| 1316227580 | Shirley's Assisted Living | Assisted Living Facility | 1000 Bb King Rd, Indianola, MS 38751-3606 | 2011-08-19 |
| 1841755865 | Nissi LLC | Assisted Living Facility | 410 E First St, Forest, MS 39074-4204 | 2019-02-04 |
| City | LOUISVILLE |
| Zip Code | 39339 |
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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.