Provider Demographics
NPI:1629446042
Name:C.B.A. GLOBAL & ASSOCIATES
Entity Type:Organization
Organization Name:C.B.A. GLOBAL & ASSOCIATES
Other - Org Name:WILSON CARE, INC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MOTEEZ
Authorized Official - Middle Name:AHARSHY
Authorized Official - Last Name:WILSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:404-441-7976
Mailing Address - Street 1:2310 CLEMENT ST
Mailing Address - Street 2:
Mailing Address - City:FLINT
Mailing Address - State:MI
Mailing Address - Zip Code:48504-3181
Mailing Address - Country:US
Mailing Address - Phone:404-441-7976
Mailing Address - Fax:
Practice Address - Street 1:2310 CLEMENT ST
Practice Address - Street 2:
Practice Address - City:FLINT
Practice Address - State:MI
Practice Address - Zip Code:48504-3181
Practice Address - Country:US
Practice Address - Phone:404-441-7976
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-09-02
Last Update Date:2016-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI251E00000X, 253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI1629446042Medicare NSC
MI1629446042Medicaid