ANDREA WILSON


Address: 298 Martin Luther King Jr Dr, Jersey City, NJ 07305-3515
Phone: 9739016445

ANDREA WILSON (NPI# 1326590944) 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) 1326590944
Entity Type Individual
Full Name ANDREA WILSON
Practice Address 298 Martin Luther King Jr Dr
Jersey City
NJ 07305-3515
Practice Telephone 9739016445
Mailing Telephone 9739016445
Enumeration Date 2016-10-31
Last Update Date 2018-04-25
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 253Z00000X In Home Supportive Care Agencies

Other Provider Identifier

State Issuer Identifier Type Code
NJ 0607991 05

Other Providers ANDREA WILSON

NPI Name Taxonomy Address Enumeration
1659847150 Andrea Margaret Wilson Registered Nurse 8221 Royal Scarlet Dr, Baldwinsville, NY 13027-8942 2018-10-23
1912494923 Andrea Sherrell Wilson Non-emergency Medical Transport (VAN) 5339 Arbor Pl, Williamsburg, VA 23188-2469 2018-04-16
1447603493 Andrea Wilson Counselor 4115 W Adams St, Chicago, IL 60624-2702 2016-07-14
1194196618 Andrea Wilson Health Educator 100 North Washington St., Station 14, Livingston, AL 35470 2015-10-09
1396169306 Andrea Wilson Nurse's Aide 18519 Egret Bay Blvd Apt 1610, Houston, TX 77058-3280 2014-02-11
1891047833 Andrea Wilson Behavioral Analyst 3990 Sheridan St Ste 209, Hollywood, FL 33021-3656 2012-10-14
1609172253 Andrea Michelle Wilson Doula 2915 N Texas St, 150, Fairfield, CA 94533-1291 2011-01-30
1871812586 Andrea M Wilson Licensed Practical Nurse 772 Smiley Ave, Cincinnati, OH 45240-1948 2010-05-19
1265596530 Andrea Gibbs Wilson Counselor 5950 N Oak Trfy Ste 104, Gladstone, MO 64118-5164 2006-12-21
1558424614 Andrea Lois Wilson Physician Assistant 9000 N Main Street, Suite 101, Dayton, OH 45415 2006-12-19

Office Location

Street Address 298 MARTIN LUTHER KING JR DR
City JERSEY CITY
State NJ
Zip Code 07305-3515

Providers in the same location

NPI Name Taxonomy Address Enumeration
1972003952 Bridgjay Corp Day Training, Developmentally Disabled Services 298 Martin Luther King Jr Dr, Jersey City, NJ 07305-3515 2018-02-16

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1518584358 Lloyd Maquiling Physical Therapist 198 Old Bergen Rd #2622, Jersey City, NJ 07305 2020-06-27
1487293932 Acj Consultants, Inc. Counselor 1600 Kennedy Blvd, Jersey City, NJ 07305 2020-01-02
1942767066 Carerivet Medical Services LLC Clinic/Center 26 University Place Blvd, 1st Floor, Jersey City, NJ 07305 2019-02-25
1538669759 Marie Day Home Health Aide 1709 Kennedy Boulevard, Jersey City, NJ 07305 2018-02-14
1881100162 Heather Primus Assistant Behavior Analyst 120 Seaview Avenue, Ground Floor, Jersey City, NJ 07305 2017-12-21
1932642816 Reem H Salem Physical Therapist 2120 John F Kennedy Blvd, Jersey City, NJ 07305 2016-11-28
1629449020 Anjanie Persaud Pharmacist 260 Armstrong Ave, Jersey City, NJ 07305 2015-10-12
1518334440 Acme Markets Inc Durable Medical Equipment & Medical Supplies 321 State Rt 440, Jersey City, NJ 07305 2015-08-26
1306212832 Hudson Milestones Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 9-11 Kensington Avenue, Jersey City, NJ 07305 2015-08-19
1144628397 Martin Rodriguez Counselor 110 Martin Luther Drive, Jersey City, NJ 07305 2014-12-19
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Taxonomy Information

Taxonomy Code 253Z00000X
Grouping Agencies
Classification In Home Supportive Care

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1306381918 K & K Home Care LLC In Home Supportive Care 216 Halladay St, Apt 4, Jersey City, NJ 07304-3300 2017-01-05
1700404316 Safire1 In Home Supportive Care 101 Lafayette St, Jersey City, NJ 07304-3725 2020-07-09
1154873776 Nj Community Framily Care LLC In Home Supportive Care 510 Ocean Ave, Jersey City, NJ 07305-3319 2016-10-31
1972821122 Authentic Home Health Services Inc In Home Supportive Care 176 Mallory Ave, Jersey City, NJ 07304-1218 2010-05-12

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1629679188 Long Island Senior Care LLC In Home Supportive Care 106 Elm St Apt 2, Orange, NJ 07050-4056 2020-11-02
1285234757 Inclusive Home Care LLC In Home Supportive Care 2 Spinnaker Dr, South Amboy, NJ 08879-3438 2020-10-26
1730788795 Mario Parker In Home Supportive Care 571 Park St, Montclair, NJ 07043-2027 2020-10-21
1588263693 Fk's&r LLC In Home Supportive Care 393 Sanford Ave, Hillside, NJ 07205-2724 2020-10-20
1104424654 Tnt Ventures, LLC In Home Supportive Care 15 Corporate Pl S Ste 405, Piscataway, NJ 08854-6113 2020-10-15
1578161634 Trontz Enterprises LLC In Home Supportive Care 86 River St, Hoboken, NJ 07030-5607 2020-10-12
1538776950 Sweet Influence Home Care Agency In Home Supportive Care 1626 Edmund Ter, Union, NJ 07083-4006 2020-09-29
1184231607 Wellcare Home Care LLC In Home Supportive Care 1281 Valley Rd # B, Wayne, NJ 07470-7980 2020-09-29
1720692932 Golden Heart Home Care LLC In Home Supportive Care 456 Pleasant Valley Way, West Orange, NJ 07052-2921 2020-09-04
1205440690 Lois Moskowitz In Home Supportive Care 9 Camelot Dr, East Brunswick, NJ 08816-3621 2020-09-02
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Competitor

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City JERSEY CITY
Zip Code 07305

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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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