Organization Active NPI

Roshaun Williams

  • Adult Care Home Facility
  • Durham, NC
National Provider Identifier
1154644342
Registry record updated Sep 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
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

Updated by the provider on Sep 22, 2023

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)CodeLicenseStatePrimary
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 Care2 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": "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.

Verify at the official NPI Registry.