TAHIRA WILSON RN NPI 1629677182

NPI Information

NPI: 1629677182
Provider Name: TAHIRA WILSON, RN
Classification: In Home Supportive Care - 253Z00000X
Entity Type: Individual
Address:
1521 66TH AVE
PHILADELPHIA, PA
ZIP 19126
Phone: (215) 237-6439
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Tahira Wilson, RN is an in home supportive care in Philadelphia, PA. The provider is 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. Tahira Wilson, RN NPI is 1629677182. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1521 66TH AVE
PHILADELPHIA, PA
ZIP 19126-766
Phone: (215) 237-6439

The enumeration date for this NPI number is 10/25/2020 and was last updated on 10/25/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	251B00000X	Case Management		No
2	251E00000X	Home Health		No
3	251G00000X	Hospice Care, Community Based		No
4	372500000X	Chore Provider		No
5	372600000X	Adult Companion		No
6	3747A0650X	Technician	Attendant Care Provider	No
7	3747P1801X	Technician	Personal Care Attendant	No
8	376J00000X	Homemaker		No
9	385H00000X	Respite Care		No
10	253Z00000X	In Home Supportive Care		Yes
11	251S00000X	Community/Behavioral Health		No
12	251T00000X	Program of All-Inclusive Care for the Elderly (PACE) Provider Organization		No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1038259300001	MEDICAID	PENNSYLVANIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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