Tahira Wilson is a Community/Behavioral Health Agency based in Abington, PA. Tahira Wilson practices in Philadelphia, PA and has the professional credentials of RN. The NPI Number for Tahira Wilson is 1629677182 and holds a License No. (Pennsylvania).
The current practice location address for Tahira Wilson is 1521 66Th Ave, Philadelphia, PA and can be reached out via phone at 215-237-6439.
Location: 1521 66Th Ave, Philadelphia, PA, 19001-2628
Provider Profile Details
NPI Number
1629677182
Provider Name
Tahira Wilson
Credential
RN
Provider Entity Type
Individual
Gender
Female
Address
1521 66Th Ave, Philadelphia, PA, 19001-2628
Phone Number
215-237-6439
Fax Number
Provider Enumeration Date
10/25/2020
Last Update Date
03/10/2024
Provider's Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1038259300001 | 05 | PA |
Provider Business Practice Location Address Details
Address
1521 66Th Ave
City
State
Zip
19126-2766
Phone Number
215-237-6439
Fax Number
Provider Business Mailing Address Details
Address
1521 66Th Ave
City
State
Zip
19126-2766
Phone Number
215-237-6439
Fax Number
Provider's Taxonomy Details 1
Type
Agencies
Classification
Case Management
Speciality
-
Taxonomy
License No.
()
Definition
An organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management services may be used to locate, coordinate, and monitor necessary appropriate services. It may be used to encourage the use of cost-effective medical care by referrals to appropriate providers and to discourage over utilization of costly services. Case management may also serve to provide necessary coordination of non-medical services such as vocational rehabilitation, education, employment, when the services provided enable the individual to function at the highest level.
Provider's Taxonomy Details 2
Type
Agencies
Classification
Home Health
Speciality
-
Taxonomy
License No.
()
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
Provider's Taxonomy Details 3
Type
Agencies
Classification
Hospice Care, Community Based
Speciality
-
Taxonomy
License No.
()
Definition
Definition to come...
Provider's Taxonomy Details 4
Type
Agencies
Classification
Community/Behavioral Health
Speciality
-
Taxonomy
License No.
()
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
Provider's Taxonomy Details 5
Type
Agencies
Classification
Program of All-Inclusive Care for the Elderly (PACE) Provider Organization
Speciality
-
Taxonomy
License No.
()
Definition
A PACE provider organization is a not-for-profit private or public entity that is primarily engaged in providing PACE services(unique capitated managed care benefits for the frail elderly which include comprehensive medical and social services). The following characteristics also apply to a PACE organization. It must: have a governing board that includes community representation; be able to provide complete PACE services regardless of frequency or duration of services; have a physical site to provide adult day services; have a defined service area; have safeguards against conflict of interest; have demonstrated fiscal soundness and have a formal Participant Bill of Rights.
Provider's Taxonomy Details 6
Type
Agencies
Classification
In Home Supportive Care
Speciality
-
Taxonomy
License No.
()
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.
Provider's Taxonomy Details 7
Type
Nursing Service Related Providers
Classification
Chore Provider
Speciality
-
Taxonomy
License No.
()
Definition
An individual who provides home maintenance services required to sustain a safe, sanitary living environment for individuals who because of age or disabilities is unable to perform the activities. These services include heavy household chores such as washing floors, windows, and walls; tacking down loose rugs and tiles; and moving heavy items of furniture in order to provide safe access and egress.
Provider's Taxonomy Details 8
Type
Nursing Service Related Providers
Classification
Adult Companion
Speciality
-
Taxonomy
License No.
()
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.
Provider's Taxonomy Details 9
Type
Nursing Service Related Providers
Classification
Technician
Speciality
Attendant Care Provider
Taxonomy
License No.
()
Definition
An individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, or impairment of a physical or cognitive function. This service may include skilled or nursing care to the extent permitted by state law.
Provider's Taxonomy Details 10
Type
Nursing Service Related Providers
Classification
Technician
Speciality
Personal Care Attendant
Taxonomy
License No.
()
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
Provider's Taxonomy Details 11
Type
Nursing Service Related Providers
Classification
Homemaker
Speciality
-
Taxonomy
License No.
()
Definition
An individual who provides general household activities such as meal preparation, laundry, and light housekeeping, when the individual regularly responsible for these activities is temporarily absent or unable to provide for himself. Homemakers must meet the state defined training standards.
Provider's Taxonomy Details 12
Type
Respite Care Facility
Classification
Respite Care
Speciality
-
Taxonomy
License No.
()
Definition
Definition to come.
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