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

Q: What is Shamba Wilson's NPI number?

The NPI number for Shamba Wilson is 1083402200. It was assigned to this individual provider in the NPPES registry on April 28, 2025.

Q: What is Shamba Wilson's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

Q: When was this NPI record last updated?

The NPPES record for Shamba Wilson was last updated on April 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

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: August 09, 2026.

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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 NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shamba Wilson's NPI number?

The NPI number for Shamba Wilson is 1083402200. It was assigned to this individual provider in the NPPES registry on April 28, 2025.

Where is Shamba Wilson located?

Shamba Wilson practices at 1332 Gust Ln, Chesapeake, VA 23323. The listed phone number is (757) 270-0526.

What is Shamba Wilson's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

When was this NPI record last updated?

The NPPES record for Shamba Wilson was last updated on April 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.