Wilson, Tahira

Wilson, Tahira is an sole proprietor health care provider with primary practice located at 1521 66Th Ave , Philadelphia PA 19126-2766. She recently has 12 registered licenses in different health care specialties including Agencies / In Home Supportive Care, Respite Care Facility / Respite Care, Agencies / Program of All-Inclusive Care for the Elderly (PACE) Provider Organization, Nursing Service Related Providers / Chore Provider, Nursing Service Related Providers / Adult Companion, Nursing Service Related Providers / Attendant Care Provider, Nursing Service Related Providers / Personal Care Attendant, Nursing Service Related Providers / Homemaker, Agencies / Case Management, Agencies / Home Health, Agencies / Hospice Care, Community Based, Agencies / Community/Behavioral Health. Agencies / In Home Supportive Care is her primary health care specialty. Wilson, Tahira can be contacted via phone (215) 237-6439.

Contact Information

Primary practice address
1521 66Th Ave Philadelphia PA 19126-2766
Phone: (215) 237-6439
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Agencies / In Home Supportive Care 253Z00000X
Respite Care Facility / Respite Care 385H00000X
Agencies / Program of All-Inclusive Care for the Elderly (PACE) Provider Organization 251T00000X
Nursing Service Related Providers / Chore Provider 372500000X
Nursing Service Related Providers / Adult Companion 372600000X
Nursing Service Related Providers / Attendant Care Provider 3747A0650X
Nursing Service Related Providers / Personal Care Attendant 3747P1801X
Nursing Service Related Providers / Homemaker 376J00000X
Agencies / Case Management 251B00000X
Agencies / Home Health 251E00000X
Agencies / Hospice Care, Community Based 251G00000X
Agencies / Community/Behavioral Health 251S00000X

Profile Details

NPI number 1629677182
LBN Legal business name Wilson, Tahira
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 25th, 2020
Last updated Oct 25th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629677182 NPPES
Pennsylvania MEDICAID 1038259300001

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