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WILLIE WILSON
NPI 1174414296
Adult Companion in Omaha, NE

Active since July 15, 2025
17773 OLIVE ST, OMAHA, NE 68136(402) 932-0072 Get Directions Write a Review

NPPES record last updated: July 15, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Willie Wilson NPPES

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

WILLIE WILSON (NPI 1174414296) is an individual adult companion provider in Omaha, Nebraska and active in the NPI registry since July 2025.

NPPES Registry Identity

NPI1174414296
Entity TypeIndividualMale
Primary Taxonomy372600000X
Provider Legal NameWILLIE WILSON
Location Address17773 OLIVE STOmaha, NE 68136-2046
Mailing Address6818 Grover St Ste 200Omaha, NE 68106-3632
Phone(402) 932-0072
Sole ProprietorYes
Enumeration DateJuly 15, 2025
NPPES CertifiedJuly 15, 2025
✔ NPI 1174414296 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAdult CompanionNursing Service Related Providers
Taxonomy Code372600000X
Definition
An individual who provides supervision, socialization, and non-medical care to a functionally impaired adult. Companions may assist or supervise the individual with such tasks as meal preparation, laundry and shopping, but do not perform these activities as discrete services. These services are provided in accordance with a therapeutic goal in the plan of care.
17773 OLIVE ST, Omaha, NE 68136
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Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ARCOLA WILSON
Adult Companion
17773 OLIVE ST
OMAHA, NE 68136
Sarpy County (308) 385-8951
TAJE MARSHALL
Day Training/Habilitation Specialist
17773 OLIVE ST
OMAHA, NE 68136
Sarpy County (402) 708-0377

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 Willie Wilson's NPI number?

The NPI number for Willie Wilson is 1174414296. It was assigned to this individual provider in the NPPES registry on July 15, 2025.

Where is Willie Wilson located?

Willie Wilson practices at 17773 Olive St, Omaha, NE 68136. The listed phone number is (402) 932-0072.

What is Willie Wilson's specialty?

The primary specialty registered for this NPI is Adult Companion with taxonomy code 372600000X.

When was this NPI record last updated?

The NPPES record for Willie Wilson was last updated on July 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.