Wortham's Group Home

Primary specialty

Personal Care AttendantTaxonomy code 3747P1801X

License

MHL-093-049 Issued in NC

Legal business name

WORTHAM'S GROUP HOME

Practice address

475 Rifle Range Road
Warrenton, NC 27589

Phone

(252) 257-0755

Fax

(252) 257-9147

NPI assigned

Aug 28, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Almeda Wortham

Title

Owner

Phone

(252) 257-0755

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1188259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213920000000",
    "number": "1235323817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "475 RIFLE RANGE ROAD",
            "city": "WARRENTON",
            "state": "NC",
            "postal_code": "27589",
            "telephone_number": "252-257-0755",
            "fax_number": "252-257-9147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "475 RIFLE RANGE ROAD",
            "city": "WARRENTON",
            "state": "NC",
            "postal_code": "27589",
            "telephone_number": "252-257-0755",
            "fax_number": "252-257-9147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WORTHAM'S GROUP HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-28",
        "last_updated": "2008-06-20",
        "status": "A",
        "authorized_official_last_name": "WORTHAM",
        "authorized_official_first_name": "ALMEDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "252-257-0755",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician, Personal Care Attendant",
            "state": "NC",
            "license": "MHL-093-049",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kishia Wiggins, COTA/L
• Gertie Williams
• Megan Zana Williams
• Shantae Wheeler Williams
• Worth the Work Therapy, PLLC
• Jonathan Youmans, MA, NCC, LPC, LCASA
• Angela Young, LCSWA
• Youniversal Solutions

• Personal Care Attendant in Warrenton, NC
• Providers in Warrenton, NC by specialty
• Personal Care Attendant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2008; 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.