Active NPI
His Will Worldwide, LLC
- Adult Care Home Facility
- Raleigh, NC
National Provider Identifier
1083994164
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Care Home Facility
- License
- FCL-092-168
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider Directory- Tax ID family
- Be Well Family Care Home
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Assisted Living Facility
- Raleigh, NC
- NPI 1861796468
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.