Peggy P. Williams

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

FCL058-001 Issued in NC

Legal business name

PEGGY P. WILLIAMS

Practice address

1385 Brown Rd
Jamesville, NC 27846-9512

Phone

(252) 792-1993

NPI assigned

Apr 11, 2008

Last updated

Jun 19, 2008By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Peggy P Williams

Title

Owner/Operator

Phone

(252) 792-1993

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Price Family Care Home Other name

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1207872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213833600000",
    "number": "1003089913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 21",
            "city": "JAMESVILLE",
            "state": "NC",
            "postal_code": "278460021",
            "telephone_number": "252-792-1993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1385 BROWN RD",
            "city": "JAMESVILLE",
            "state": "NC",
            "postal_code": "278469512",
            "telephone_number": "252-792-1993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEGGY P. WILLIAMS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-11",
        "last_updated": "2008-06-19",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "PEGGY",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "252-792-1993",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NC",
            "license": "FCL058-004",
            "primary": false
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NC",
            "license": "FCL058-001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7802790",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Price Family Care Home",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Carolina Connections Home Care LLC
• Connecting Wrlds Company
• Lashawnda Graham-Wells
• Jamesville Community EMS & Rescue
• Helen Gardner Lytle, OTR/L
• Price Family Care Home LLC
• The Dag Center, Inc.
• Terry Anthony Wallace, DDS

• Assisted Living Facility in Jamesville, NC
• Providers in Jamesville, NC by specialty
• Assisted Living Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.