WILSON RESIDENTIAL CARE (NPI# 1619439825) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619439825 |
| Entity Type | Organization |
| Organization Name | WILSON RESIDENTIAL CARE |
| Practice Address |
1679 Highway 243 S Marianna AR 72360-8529 |
| Practice Telephone | 8702953557 |
| Practice Fax Number | 8702953686 |
| Mailing Telephone | 8702953557 |
| Mailing Fax Number | 8702953686 |
| Enumeration Date | 2019-04-05 |
| Last Update Date | 2019-04-05 |
| Authorized Official Name | MR. JAMES WILSON JR. (OWNER) |
| Authorized Official Telephone | 8702953557 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3104A0625X |
Assisted Living Facility Specialization: Assisted Living, Mental Illness |
Nursing & Custodial Care Facilities | ||
| N | 177F00000X | Lodging | Other Service Providers | ||
| Y | 253Z00000X | In Home Supportive Care | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 121812732 | 05 |
| Street Address |
1679 HIGHWAY 243 S |
| City | MARIANNA |
| State | AR |
| Zip Code | 72360-8529 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255843306 | Hannah Michelle Byrd | Occupational Therapy Assistant | 3326 Hwy 1 South, Forrest City, AR 72360 | 2017-10-30 |
| 1114237369 | Don W. Ball, M.d. P,a. | General Practice | 154 Mulberry Street, Marianna, AR 72360 | 2010-10-20 |
| 1528234101 | Counseling Consultants | Clinic/Center | 199 Hwy 243, Marianna, AR 72360 | 2008-05-05 |
| 1467658435 | Requisha Denee Brooks | Home Health Aide | 218 E. Mlk Apt 1, Marianna, AR 72360 | 2007-06-26 |
| 1740310481 | Abe Lovelace | Social Worker | 63 N Carolina St, Marianna, AR 72360 | 2007-03-06 |
| 1932254653 | Alisia Skinner | Physical Therapy Assistant | 700 West Chestnut, Marianna, AR 72360 | 2007-01-24 |
| 1063577682 | James Wilson Jr. | Lodging | 1679 Highway 243 South, Marianna, AR 72360 | 2006-12-26 |
| 1073693701 | Marianna Family Medicine Clinic Pllc | Family Medicine | 29 West Tennessee Street, Marianna, AR 72360 | 2006-10-17 |
| 1467469718 | Jonathan Simmons | Optometrist | 219 W. Chestnut, Marianna, AR 72360 | 2006-08-01 |
| 1093093247 | Valentine C Emechete | Dentist | 530 West Atkins Blvd, Mrianna, AR 72360 | 2011-07-21 |
| Find all providers in zip 72360 | ||||
| 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 |
|---|---|---|---|---|
| 1972074318 | Angelica Webb | In Home Supportive Care | 4903 Blue Sky Way, Marianna, FL 32446-1864 | 2018-12-11 |
| 1215418736 | Sabrina Nicole Farr | In Home Supportive Care | 4962 Dogwood Dr, Marianna, FL 32446-6987 | 2018-08-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134727613 | Arkansas 1st Class Consumer Directed Services LLC | In Home Supportive Care | 825 E Main St Ste I, Blytheville, AR 72315-2599 | 2020-10-15 |
| 1548877574 | Rest Assured Home Care LLC | In Home Supportive Care | 222 Rivendale Dr, West Fork, AR 72774-3208 | 2020-09-24 |
| 1366058570 | Brooke Mcdowell | In Home Supportive Care | 8321 Edmar Pl, North Little Rock, AR 72117-1576 | 2020-09-22 |
| 1891312781 | Tgmae Seven Services, LLC | In Home Supportive Care | 3312 Jeridon Cv, Jonesboro, AR 72404-8196 | 2020-06-26 |
| 1467078725 | Seek Him Enterprises LLC | In Home Supportive Care | 5552 Village Dr, Benton, AR 72019-9466 | 2020-06-23 |
| 1245850023 | Diamond State Personal Care, Inc. | In Home Supportive Care | 240 Skyline Dr Ste 301, Conway, AR 72032-2810 | 2020-04-21 |
| 1326671777 | Village Angels, Inc | In Home Supportive Care | 198 Carmona Rd Ste 12, Hot Springs Village, AR 71909-2919 | 2020-02-13 |
| 1679113583 | Dm Parks Inc., Dba Comfort Keepers | In Home Supportive Care | 5068 N Arkansas Ave, Russellville, AR 72802-8325 | 2020-01-08 |
| 1285279703 | Love & Care Home Care Services LLC | In Home Supportive Care | 229 Lonsdale Cir, Jacksonville, AR 72076-6323 | 2019-11-07 |
| 1609419076 | Luvenia Blair | In Home Supportive Care | 13605 Hansfield Cir, North Little Rock, AR 72117-5366 | 2019-10-17 |
| Find all providers with the same taxonomy | ||||
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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.