Active NPI
The Willis Group- Moving Forward
- Community/Behavioral Health Agency
- Farmers Branch, TX
National Provider Identifier
1174922975
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- THE WILLIS GROUP- MOVING FORWARD
- Practice address
- 4100 Spring Valley Rd
612
Farmers Branch, TX 75244-3629 - Phone
- (214) 927-6179
- NPI assigned
- Aug 18, 2014
- 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
- Jennifer Willis
- Title
- Owner
- Phone
- (214) 927-6179
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | |||
| Developmentally Disabled Services Day Training Agency | 251C00000X | |||
| Community/Behavioral Health Agency | 251S00000X | Primary | ||
| In Home Supportive Care Agency | 253Z00000X |
Addresses
Primary practice location
4100 Spring Valley Rd
612
Farmers Branch, TX 75244-3629
Mailing address
609 S Goliad St
Ste. 612
Rockwall, TX 75087-4003
National Provider Directory
National Provider Directory- Tax ID family
- Jennifer Willis
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
- Case Management Agency
- Rockwall, TX
- NPI 1588942908
-
- Home Health Agency
- Dallas, TX
- NPI 1851844450
-
- Contractor
- Dallas, TX
- NPI 1821879578
Locations
4100 Spring Valley Rd
Ste 612
Farmers Branch, TX 75244
Phone (214) 927-6179
609 S Goliad St
Unit 612
Rockwall, TX 75087
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1408320000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1408320000000",
"number": "1174922975",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "609 S GOLIAD ST",
"address_2": "STE. 612",
"city": "ROCKWALL",
"state": "TX",
"postal_code": "750874003"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4100 SPRING VALLEY RD",
"address_2": "612",
"city": "FARMERS BRANCH",
"state": "TX",
"postal_code": "752443629",
"telephone_number": "214-927-6179"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THE WILLIS GROUP- MOVING FORWARD",
"organizational_subpart": "NO",
"enumeration_date": "2014-08-18",
"last_updated": "2014-08-18",
"status": "A",
"authorized_official_last_name": "WILLIS",
"authorized_official_first_name": "JENNIFER",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "214-927-6179"
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": null,
"license": null,
"primary": false
},
{
"code": "251C00000X",
"taxonomy_group": "",
"desc": "Day Training, Developmentally Disabled Services",
"state": null,
"license": null,
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Farmers Branch, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.