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MR. ANDRE WILSON
NPI 1962907964
Technician - Personal Care Attendant in Las Vegas, NV

Active since March 29, 2018
913 E OGDEN AVE, LAS VEGAS, NV 89101(702) 689-5015 Get Directions Write a Review

NPPES record last updated: June 23, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 23, 2023, Dec 30, 2019, Mar 29, 2018 (3 updates tracked since 2018).

About Mr. Andre Wilson NPPES

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

MR. ANDRE WILSON (NPI 1962907964) is an individual personal care attendant in Las Vegas, Nevada and active in the NPI registry since March 2018.

NPPES Registry Identity

NPI1962907964
Entity TypeIndividualMale
Primary Taxonomy3747P1801X
Provider Legal NameMR. ANDRE WILSON
Location Address913 E OGDEN AVELas Vegas, NV 89101-4234
Mailing Address913 E Ogden AveLas Vegas, NV 89101-4234 · (702) 689-5015
Phone(702) 689-5015
Sole ProprietorNo
Enumeration DateMarch 29, 2018
Last NPPES UpdateJune 23, 20233 updates tracked since enumeration
NPPES CertifiedJune 23, 2023
✔ NPI 1962907964 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyTechnician · Personal Care AttendantNursing Service Related Providers
Taxonomy Code3747P1801X
Definition
An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards
Also ListedChore ProviderTaxonomy 372500000X
Also ListedAdult CompanionTaxonomy 372600000X
Also ListedTechnician · Attendant Care ProviderTaxonomy 3747A0650X
Also ListedHomemakerTaxonomy 376J00000X
913 E OGDEN AVE, Las Vegas, NV 89101
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Other Identifiers 6

Medicaid1962907964NV
Medicaid250012749NV
Medicaid1821522848NV
Medicaid1053975078NV
Medicaid250002543NV
Medicaid250012748NV

Other Providers at the Same Location NPPES 20

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

SARA HOLLAND
Technician (Personal Care Attendant)
913 E OGDEN AVE
LAS VEGAS, NV 89101
Clark County (702) 416-9028
MS. LEANNA ANGEL HILL
Technician (Personal Care Attendant)
913 E OGDEN AVE
LAS VEGAS, NV 89101
Clark County (702) 689-5015
BRE'S LOVING HOME OF NEVADA
In Home Supportive Care
913 E OGDEN AVE
LAS VEGAS, NV 89101
Clark County (702) 489-1528
MR. DAVID CLEMMONS
Technician (Personal Care Attendant)
913 E OGDEN AVE
LAS VEGAS, NV 89101
Clark County (702) 689-5015
SHARON A TURNER
Technician (Personal Care Attendant)
913 E OGDEN AVE
LAS VEGAS, NV 89101
Clark County (702) 689-5015
CHRIS ROSS
Technician (Attendant Care Provider)
913 E OGDEN AVE
LAS VEGAS, NV 89101
Clark County (702) 416-9028
JAMES SANFORD
Technician (Personal Care Attendant)
913 E OGDEN AVE
LAS VEGAS, NV 89101
Clark County (702) 416-9028
TRACY ARCHIE
Technician (Personal Care Attendant)
913 E OGDEN AVE
LAS VEGAS, NV 89101
Clark County (702) 689-5015

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 Andre Wilson's NPI number?

The NPI number for Andre Wilson is 1962907964. It was assigned to this individual provider in the NPPES registry on March 29, 2018.

Where is Andre Wilson located?

Andre Wilson practices at 913 E Ogden Ave, Las Vegas, NV 89101. The listed phone number is (702) 689-5015.

What is Andre Wilson's specialty?

The primary specialty registered for this NPI is Technician, specializing in Personal Care Attendant, with taxonomy code 3747P1801X.

When was this NPI record last updated?

The NPPES record for Andre Wilson was last updated on June 23, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.