Organization Active NPI

Williams Independent Home Care LLC

  • In Home Supportive Care Agency
  • Wendell, NC
National Provider Identifier
1003695289
Registry record updated Oct 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
WILLIAMS INDEPENDENT HOME CARE LLC
Practice address
375 E 3Rd St Ste 211
Wendell, NC 27591-9708
Phone
(984) 800-6814
NPI assigned
Sep 26, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2023

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

Authorized official

Name
Ms. Kimberlee D Williams
Title
Owner
Phone
(984) 800-6814

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

375 E 3Rd St Ste 211
Wendell, NC 27591-9708

Mailing address

PO Box 1775
Wendell, NC 27591-1775
Phone (984) 800-6814

National Provider Directory

National Provider Directory

Locations

375 E Third St
Ste 211
Wendell, NC 27591
Phone (984) 800-6814

NPI Registry JSON

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

{
    "created_epoch": "1695686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696464000000",
    "number": "1003695289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1775",
            "city": "WENDELL",
            "state": "NC",
            "postal_code": "275911775",
            "telephone_number": "984-800-6814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "375 E 3RD ST STE 211",
            "city": "WENDELL",
            "state": "NC",
            "postal_code": "275919708",
            "telephone_number": "984-800-6814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAMS INDEPENDENT HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-26",
        "last_updated": "2023-10-05",
        "certification_date": "2023-10-05",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "KIMBERLEE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "984-800-6814",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wendell, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2023; 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.