Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Latoya Renee Wilson, CEO

Individual provider Adult Companion · NPI 1114765047

Latoya Renee Wilson, CEO is an Adult Companion in Indianapolis, Indiana. Practices as a sole proprietor. Licensed in Indiana.

Licensed in
IN
In the registry since
2024
Specialties on file
4

Practice location Address checks out

4114 N Irvington Ave
Indianapolis, IN 46226-4772
Phone: (317) 200-6078
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

In Home Supportive Care Agency (primary) Taxonomy 253Z00000X · Licence 24-017002-1 (IN)
Adult Companion Taxonomy 372600000X · Licence 24-017002-1 (IN)
Personal Care Attendant Taxonomy 3747P1801X · Licence 24-017002-1 (IN)
Homemaker Taxonomy 376J00000X · Licence 24-017002-1 (IN)

Record details

NPI number1114765047
Entity typeIndividual (Type 1)
GenderFemale
Credentials CEO
Sole proprietorYes
NPI enumeratedJuly 16, 2024
Last updated in NPPESJuly 27, 2024
Certification dateJuly 27, 2024

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