Williams Care Service Inc.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

WILLIAMS CARE SERVICE INC.

Doing business as

Ametrine House

Practice address

6622 Ametrine CT
Jurupa Valley, CA 91752-4445

Phone

(909) 615-7534

NPI assigned

Oct 17, 2020

Organization subpart

No

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

Authorized official

Name

Tanisha Williams

Title

Ceo/Administrator

Phone

(909) 615-7534

Specialties & licenses 1

Addresses

Other names 1

• Ametrine House Doing business as

Electronic endpoints 1

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

{
    "created_epoch": "1602892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602892800000",
    "number": "1447859897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6622 AMETRINE CT",
            "city": "JURUPA VALLEY",
            "state": "CA",
            "postal_code": "917524445",
            "telephone_number": "909-615-7534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6622 AMETRINE CT",
            "city": "JURUPA VALLEY",
            "state": "CA",
            "postal_code": "917524445",
            "telephone_number": "909-615-7534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAMS CARE SERVICE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-17",
        "last_updated": "2020-10-17",
        "certification_date": "2020-10-17",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "TANISHA",
        "authorized_official_title_or_position": "CEO/ADMINISTRATOR",
        "authorized_official_telephone_number": "909-615-7534"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "tanisha@chatebooks.com",
            "affiliation": "N",
            "address_1": "6622 Ametrine Ct",
            "city": "Jurupa Valley",
            "state": "CA",
            "country_code": "US",
            "postal_code": "917524445",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Ametrine House",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Jaqueta Antanina Williams, FNP
• Shannin Willis
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• Yesenia M Zamora

• Assisted Living Facility in Jurupa Valley, CA
• Providers in Jurupa Valley, CA by specialty
• Assisted Living Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2020; 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.