Individual provider · Type 1 NPI

Willie Wilson

Adult Companion · Omaha, NE

NPI number 1174414296 Active

Practice location

17773 Olive St
Omaha, NE 68136-2046

Call (402) 932-0072 Map

Mailing address

6818 Grover St Ste 200
Omaha, NE 68106-3632

Specialties and licenses

Taxonomy	Code	License
Adult Companion Primary	372600000X	None listed

Adult Companion: 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.

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About NPI 1174414296

Willie Wilson's National Provider Identifier is 1174414296, issued on Jul 15, 2025. The primary taxonomy on file is Adult Companion (372600000X), and the practice location is in Omaha, NE. The record was last updated on Jul 15, 2025.