ANNIE WILSON HOMECARE, INC (NPI# 1518951003) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518951003 |
| Entity Type | Organization |
| Organization Name | ANNIE WILSON HOMECARE, INC |
| Practice Address |
1225 W Beaver St Ste 203 Jacksonville FL 32204-1414 |
| Practice Telephone | 9042650340 |
| Practice Fax Number | 9042651906 |
| Mailing Telephone | 9042650340 |
| Mailing Fax Number | 9042651906 |
| Enumeration Date | 2005-09-09 |
| Last Update Date | 2007-10-19 |
| Authorized Official Name | SUSAN MANCHESTER (BILLING AGENT) |
| Authorized Official Telephone | 9047775002 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251C00000X | Day Training, Developmentally Disabled Services | Agencies | ||
| Y | 376J00000X | Homemaker | Nursing Service Related Providers |
| Street Address |
1225 W BEAVER ST STE 203 |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32204-1414 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922638907 | Lashan Phillips-washington | Case Manager/Care Coordinator | 1225 W Beaver St, Jacksonville, FL 32204-1414 | 2020-01-18 |
| 1548777105 | True Companions Inc. Home Care Provider | Home Health | 1225 W Beaver St, Jacksonville, FL 32204-1414 | 2018-01-04 |
| 1417483306 | Assistedhealthcare | Case Management | 1225 W Beaver St, Jacksonville, FL 32204-1414 | 2017-05-11 |
| 1588190136 | Clarissa Bertha | Case Manager/Care Coordinator | 1225 W Beaver St, Jacksonville, FL 32204-1414 | 2017-05-02 |
| 1407397292 | Victoria Smith | Counselor | 1225 W Beaver St, Suite 210, Jacksonville, FL 32204-1414 | 2017-03-14 |
| 1780125617 | Ian Smith | Counselor | 1225 W Beaver St, Suite 210, Jacksonville, FL 32204-1414 | 2017-03-11 |
| 1972049922 | Dennis Zeighler | Counselor | 1225 W Beaver St, Suite 210, Jacksonville, FL 32204-1414 | 2017-01-15 |
| 1790221745 | Carlotta Cofield | Counselor | 1225 W Beaver St, Suite 210, Jacksonville, FL 32204-1414 | 2017-01-15 |
| 1720440373 | Helping Hands Inspire Happy Hearts, LLC | Case Management | 1225 W Beaver St, Suite 210, Jacksonville, FL 32204-1414 | 2016-03-23 |
| 1154734234 | Sensicare Services, Inc. | In Home Supportive Care | 1225 W Beaver St, Suite 117, Jacksonville, FL 32204-1414 | 2014-06-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437719853 | North Florida Surgeons, Pa | Orthopaedic Surgery | 2 Shirlciff Ways, Suite 300, Jacksonville, FL 32204 | 2019-06-18 |
| 1770043531 | Manuel Viado Rosas | Physical Therapist | Bold City Therapy and Wellness LLC, 2054 Park Street, Jacksonville, FL 32204 | 2019-03-20 |
| 1255805172 | Tracie Nickole Singh | Marriage & Family Therapist | 1125 W Beaver Street, Suite 205, Jacksonville, FL 32204 | 2019-01-14 |
| 1427548544 | Bold City Therapy and Wellness LLC | Clinic/Center | 2054 Park Street, Jacksonville, FL 32204 | 2018-05-14 |
| 1356883078 | Lcn Enterprise, LLC | Case Manager/Care Coordinator | 1225 W Beaver St Ste 106, Jacksonville, FL 32204 | 2016-11-11 |
| 1073065082 | Prosser and Prosser LLC | Non-emergency Medical Transport (VAN) | 2120 Ernest St, Jacksonville, FL 32204 | 2016-10-26 |
| 1336529817 | Nader Daoud | Internal Medicine | 1 Shircliffway, Jacksonville, FL 32204 | 2015-06-01 |
| 1194119214 | Benjamin James Dionne | Internal Medicine | 2 Shircliff Way Ste 400, Jacksonville, FL 32204 | 2015-03-26 |
| 1598187932 | Jamara Stephens | Counselor | 1225 W Beaver St Ste 205, Jacksonville, FL 32204 | 2014-01-18 |
| 1154743961 | Kathleen Jasper | Nurse Anesthetist, Certified Registered | 2165 Herschel Street, Jacksonville, FL 32204 | 2014-01-14 |
| Find all providers in zip 32204 | ||||
| Taxonomy Code | 376J00000X |
| Grouping | Nursing Service Related Providers |
| Classification | Homemaker |
| An individual who provides general household activities such as meal preparation, laundry, and light housekeeping, when the individual regularly responsible for these activities is temporarily absent or unable to provide for himself. Homemakers must meet the state defined training standards. |
| Notes: [7/1/2003: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518572981 | La'toya Renee Jones | Homemaker | 2138 Wiley Oaks Ln, Jacksonville, FL 32210-2692 | 2020-09-12 |
| 1346855939 | Tina Sines | Homemaker | 1214 Labelle St Apt 159, Jacksonville, FL 32205-6975 | 2020-09-10 |
| 1437761830 | Johanna I Gates | Homemaker | 15379 Spotted Stallion Trl, Jacksonville, FL 32234-2397 | 2020-08-18 |
| 1659983203 | Paula Ravnell | Homemaker | 7707 Merrill Rd Ste 11965, Jacksonville, FL 32277-3714 | 2020-08-17 |
| 1790395267 | Paris Toins | Homemaker | 1728 Keats Rd, Jacksonville, FL 32208-3122 | 2020-08-08 |
| 1932719333 | G.a.c. Support Services, LLC | Homemaker | 6532 Gentle Oaks Dr S, Jacksonville, FL 32244-3660 | 2020-07-31 |
| 1154930527 | Tysheana Peterson | Homemaker | 6717 Southern Oaks Dr, Jacksonville, FL 32244-3675 | 2020-07-30 |
| 1336757475 | Jessica G Wright | Homemaker | 439 W 26th St, Jacksonville, FL 32206-1923 | 2020-07-15 |
| 1689292526 | Kedisha Mauraine Goldsmith | Homemaker | 6088 Davon St, Jacksonville, FL 32244-3178 | 2020-07-07 |
| 1982221099 | Sandrika Powell | Homemaker | 5620 Collins Rd Apt 302, Jacksonville, FL 32244-6910 | 2020-07-06 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32204 |
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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.