WILSON HEALTHCARE INC DBA HAWAIIAN HOUSE NPI 1871655191

NPI Information

NPI: 1871655191
Provider Name: WILSON HEALTHCARE, INC DBA HAWAIIAN HOUSE
Classification: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320900000X
Entity Type: Organization
Address:
12440 224TH ST
HAWAIIAN GARDENS, CA
ZIP 90716
Phone: (562) 429-2616
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WILSON HEALTHCARE, INC DBA HAWAIIAN HOUSE is a community based residential treatment facility, intellectual and/or developmental disabilities in Hawaiian Gardens, CA. The provider is a home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. WILSON HEALTHCARE, INC DBA HAWAIIAN HOUSE NPI is 1871655191. The provider is registered as an organization entity type.

The provider's business location address is:

12440 224TH ST
HAWAIIAN GARDENS, CA
ZIP 90716-718
Phone: (562) 429-2616

The provider's authorized official is Mark F. Wilson .
The authorized official title is Administrator and has the following contact phone number (562) 429-2616.

The enumeration date for this NPI number is 12/14/2006 and was last updated on 8/22/2020.

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	License Number	License State	Primary
1	320900000X	Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities			CALIFORNIA	Yes

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: 5/5/2024

NPI Synchronization or Removal

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