Organization Active NPI

His Will Worldwide, LLC

  • Adult Care Home Facility
  • Raleigh, NC
National Provider Identifier
1083994164
Registry record updated Aug 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
License
FCL-092-168 Issued in NC
Legal business name
HIS WILL WORLDWIDE, LLC
Practice address
4114 James Rd
Raleigh, NC 27604-4903
Phone
(919) 872-1790
Fax
(919) 872-1790
NPI assigned
Aug 22, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2011

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

Authorized official

Name
Ms. Brenda Michelle Reid
Title
Administrator
Phone
(919) 872-1790

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X FCL-092-168 NC Primary

Addresses

Primary practice location

4114 James Rd
Raleigh, NC 27604-4903

Mailing address

PO Box 58268
Raleigh, NC 27658-8268
Phone (919) 673-7352

Other names 1

  • Be Well Family Care Home Other name

National Provider Directory

National Provider Directory
Tax ID family
Be Well Family Care Home2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1313971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313971200000",
    "number": "1083994164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 58268",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276588268",
            "telephone_number": "919-673-7352",
            "fax_number": "919-457-1450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4114 JAMES RD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276044903",
            "telephone_number": "919-872-1790",
            "fax_number": "919-872-1790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIS WILL WORLDWIDE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-22",
        "last_updated": "2011-08-22",
        "status": "A",
        "authorized_official_last_name": "REID",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "919-872-1790",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "NC",
            "license": "FCL-092-168",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Be Well Family Care Home",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2011; 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.