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SHIRLEY WILSON HEAVENLY HEALTHCARE
NPI 1548904063
Home Health Aide in Jacksonville, FL

Active since April 21, 2022
5105 BENNING RD, JACKSONVILLE, FL 32254(904) 667-7962(904) 580-5805 Get Directions Write a Review

NPPES record last updated: April 21, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Shirley Wilson Heavenly Healthcare NPPES

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

SHIRLEY WILSON HEAVENLY HEALTHCARE (NPI 1548904063) is a healthcare organization registered as a home health aide in Jacksonville, Florida and active in the NPI registry since April 2022. The organization lists Shirley Crawford Wilson, Owner, as its authorized official.

NPPES Registry Identity

NPI1548904063
Entity TypeOrganization
Primary Taxonomy374U00000X
Legal Business NameSHIRLEY WILSON HEAVENLY HEALTHCARE
Location Address5105 BENNING RDJacksonville, FL 32254-3610
Mailing Address5105 Benning RdJacksonville, FL 32254-3610 · (904) 487-3949
Phone(904) 667-7962
Fax(904) 580-5805
Organization SubpartNo
Authorized OfficialShirley Crawford WilsonOwner · (904) 487-3949
Enumeration DateApril 21, 2022
NPPES CertifiedApril 21, 2022
✔ NPI 1548904063 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHome Health AideNursing Service Related Providers
Taxonomy Code374U00000X
Definition
A person trained to assist public health nurses, home health nurses, and other health professionals in the bedside care of patients in their homes.
5105 BENNING RD, Jacksonville, FL 32254
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

SHIRLEY CRAWFORD WILSON
Home Health Aide
5105 BENNING RD
JACKSONVILLE, FL 32254
Duval County (904) 487-3949

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 Shirley Wilson Heavenly Healthcare's NPI number?

The NPI number for Shirley Wilson Heavenly Healthcare is 1548904063. It was assigned to this organization in the NPPES registry on April 21, 2022.

Where is Shirley Wilson Heavenly Healthcare located?

Shirley Wilson Heavenly Healthcare is located at 5105 Benning Rd, Jacksonville, FL 32254. The listed phone number is (904) 667-7962.

What is Shirley Wilson Heavenly Healthcare's specialty?

The primary specialty registered for this NPI is Home Health Aide with taxonomy code 374U00000X.

When was this NPI record last updated?

The NPPES record for Shirley Wilson Heavenly Healthcare was last updated on April 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.