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SHAMBA WILSON
NPI 1083402200
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Chesapeake, VA

Active since April 28, 2025
1332 GUST LN, CHESAPEAKE, VA 23323(757) 270-0526 Get Directions Write a Review

NPPES record last updated: April 28, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Shamba Wilson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHAMBA WILSON (NPI 1083402200) is an individual community based residential treatment facility, intellectual and/or developmental disabilities provider in Chesapeake, Virginia and active in the NPI registry since April 2025.

NPPES Registry Identity

NPI1083402200
Entity TypeIndividualMale
Primary Taxonomy320900000X
Provider Legal NameSHAMBA WILSON
Location Address1332 GUST LNChesapeake, VA 23323-2930
Mailing Address1332 Gust LnChesapeake, VA 23323-2930 · (757) 270-0526
Phone(757) 270-0526
Sole ProprietorYes
Enumeration DateApril 28, 2025
NPPES CertifiedApril 28, 2025
✔ NPI 1083402200 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities
Taxonomy Code320900000X
Definition

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.

Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X
1332 GUST LN, Chesapeake, VA 23323
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Frequently Asked Questions

What is Shamba Wilson's NPI number?

The NPI number assigned to this healthcare provider is 1083402200, enumerated as an "individual" on April 28, 2025.

Where is the provider located?

The provider is located at 1332 GUST LN CHESAPEAKE, VA 23323 and the phone number is (757) 270-0526.

What is the provider's specialty?

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.