Organization Active NPI

The Willis Family Home Care Facility

  • In Home Supportive Care Agency
  • Rocky Mount, NC
National Provider Identifier
1205361573
Registry record updated Apr 25, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
THE WILLIS FAMILY HOME CARE FACILITY
Practice address
1300 W Thomas St
Rocky Mount, NC 27804-4331
Phone
(252) 231-0632
NPI assigned
Apr 25, 2017
Last updated
Apr 25, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2017

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

Authorized official

Name
Mrs. Deborah Ann Weathers, OWNER
Title
President
Phone
(863) 386-1609

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

1300 W Thomas St
Rocky Mount, NC 27804-4331

Mailing address

1811 Sandtrap CT
Sebring, FL 33872-3875
Phone (863) 386-1609

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1493078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493078400000",
    "number": "1205361573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1811 SANDTRAP CT",
            "city": "SEBRING",
            "state": "FL",
            "postal_code": "338723875",
            "telephone_number": "863-386-1609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 W THOMAS ST",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "278044331",
            "telephone_number": "252-231-0632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE WILLIS FAMILY HOME CARE FACILITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-25",
        "last_updated": "2017-04-25",
        "status": "A",
        "authorized_official_last_name": "WEATHERS",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "863-386-1609",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "OWNER"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rocky Mount, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2017; 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.