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SHANTICE WILSON
NPI 1104666833
In Home Supportive Care in Oxon Hill, MD

Active since May 30, 2024
504 WILSON BRIDGE DR APT A1, OXON HILL, MD 20745(202) 813-7058 Get Directions Write a Review

NPPES record last updated: May 30, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Shantice Wilson NPPES

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

SHANTICE WILSON (NPI 1104666833) is an individual in home supportive care provider in Oxon Hill, Maryland and active in the NPI registry since May 2024.

NPPES Registry Identity

NPI1104666833
Entity TypeIndividualFemale
Primary Taxonomy253Z00000X
Provider Legal NameSHANTICE WILSON
Location Address504 WILSON BRIDGE DR APT A1Oxon Hill, MD 20745-1843
Mailing Address504 Wilson Bridge Dr Apt A1Oxon Hill, MD 20745-1843 · (202) 813-7058
Phone(202) 813-7058
Sole ProprietorYes
Enumeration DateMay 30, 2024
NPPES CertifiedMay 30, 2024
✔ NPI 1104666833 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyIn Home Supportive CareAgencies
Taxonomy Code253Z00000X
Definition
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.
504 WILSON BRIDGE DR APT A1, Oxon Hill, MD 20745
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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 Shantice Wilson's NPI number?

The NPI number for Shantice Wilson is 1104666833. It was assigned to this individual provider in the NPPES registry on May 30, 2024.

Where is Shantice Wilson located?

Shantice Wilson practices at 504 Wilson Bridge Dr Apt A1, Oxon Hill, MD 20745. The listed phone number is (202) 813-7058.

What is Shantice Wilson's specialty?

The primary specialty registered for this NPI is In Home Supportive Care with taxonomy code 253Z00000X.

When was this NPI record last updated?

The NPPES record for Shantice Wilson was last updated on May 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.