# WILSON ESTATE HOME HEALTH CARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** WILSON ESTATE HOME HEALTH CARE LLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1811600349
- **Legal business name:** WILSON ESTATE HOME HEALTH CARE LLC
- **Authorized official:** SYMONE NICHOLE-MARIE WILSON (PRESIDENT)
- **Authorized official phone:** (513) 873-8808

## Contact information

- **Practice address:** 1821 W GALBRAITH RD, CINCINNATI, OH 45239-4848
- **Practice address phone:** (513) 873-8808
- **Practice address fax:** (513) 873-8507
- **Mailing address:** 1821 W GALBRAITH RD, CINCINNATI, OH 45239-4848

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171M00000X | Case Manager/Care Coordinator | — | NULL | — |
| 171M00000X | Case Manager/Care Coordinator | — | — | — |
| 251C00000X | Developmentally Disabled Services Day Training Agency | — | NULL | — |
| 251E00000X | Home Health Agency | — | NULL | Yes |
| 251G00000X | Community Based Hospice Care Agency | — | NULL | — |
| 251J00000X | Nursing Care Agency | — | NULL | — |

## Other

- **Enumeration date:** 12/29/2022
- **Last updated:** 12/29/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0416039 | — | OH |