Organization Active NPI

KT Williams Group Inc.

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Greensboro, NC
National Provider Identifier
1497898993
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
License
MHL-041-621 Issued in NC
Legal business name
KT WILLIAMS GROUP INC.
Practice address
6012 Dawn Ridge TRL
Greensboro, NC 27410-8623
Phone
(336) 393-0343
NPI assigned
Feb 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Sabrina Williams
Title
Owner
Phone
(336) 855-1946

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X MHL-041-621 NC Primary

Addresses

Primary practice location

6012 Dawn Ridge TRL
Greensboro, NC 27410-8623

Mailing address

4642 W. Market Street
#251
Greensboro, NC 27407
Phone (336) 855-1946

Other identifiers 1

IdentifierTypeStateIssuer
6603384MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
KT Williams Group2 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.

Locations

4642 W Market St
#251
Greensboro, NC 27407

NPI Registry JSON

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

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1497898993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4642 W. MARKET STREET",
            "address_2": "#251",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "27407",
            "telephone_number": "336-855-1946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6012 DAWN RIDGE TRL",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274108623",
            "telephone_number": "336-393-0343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KT WILLIAMS GROUP INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "SABRINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "336-855-1946"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NC",
            "license": "MHL-041-621",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6603384",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.