Active NPI
Roshaun Williams
- Adult Care Home Facility
- Durham, NC
National Provider Identifier
1154644342
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Care Home Facility
- Legal business name
- ROSHAUN WILLIAMS
- Practice address
- 4012 Guess Rd
Durham, NC 27705-1510 - Phone
- (919) 949-7497
- NPI assigned
- Mar 2, 2010
- 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
- Roshaun Anjali Williams
- Title
- Owner
- Phone
- (919) 949-7497
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Mental Health Clinic/Center | 261QM0850X | MHL032516 | NC | |
| Adult Care Home Facility | 311ZA0620X | Primary |
Addresses
Primary practice location
4012 Guess Rd
Durham, NC 27705-1510
Mailing address
4012 Guess Rd
Durham, NC 27705-1510
Phone (919) 949-7497
National Provider Directory
National Provider Directory- Tax ID family
- ML Family Care
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Adult Care Home Facility
- Durham, NC
- NPI 1245651843
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1267488000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1695340800000",
"number": "1154644342",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4012 GUESS RD",
"city": "DURHAM",
"state": "NC",
"postal_code": "277051510",
"telephone_number": "919-949-7497"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4012 GUESS RD",
"city": "DURHAM",
"state": "NC",
"postal_code": "277051510",
"telephone_number": "919-949-7497"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROSHAUN WILLIAMS",
"organizational_subpart": "NO",
"enumeration_date": "2010-03-02",
"last_updated": "2023-09-22",
"certification_date": "2023-09-22",
"status": "A",
"authorized_official_last_name": "WILLIAMS",
"authorized_official_first_name": "ROSHAUN",
"authorized_official_middle_name": "ANJALI",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "919-949-7497"
},
"taxonomies": [
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": "NC",
"license": "MHL032516",
"primary": false
},
{
"code": "311ZA0620X",
"taxonomy_group": "",
"desc": "Custodial Care Facility, Adult Care Home",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Durham, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 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.