Active NPI
Diane Williams
- Home Modifications Contractor
- Cleveland, OH
National Provider Identifier
1588070395
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Modifications Contractor
- License
- RM696521
- Practice address
- 17305 Hillsboro Rd
Cleveland, OH 44112-1564 - Phone
- (216) 242-9143
- NPI assigned
- Jul 2, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Modifications Contractor | 171WH0202X | RM696521 | OH | Primary |
Addresses
Primary practice location
17305 Hillsboro Rd
Cleveland, OH 44112-1564
Mailing address
17305 Hillsboro Rd
Cleveland, OH 44112-1564
Phone (216) 242-9143
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2651974 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RM696521 | OH | MD | Home Modifications Contractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1404259200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1404259200000",
"number": "1588070395",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17305 HILLSBORO RD",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441121564",
"telephone_number": "216-242-9143"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17305 HILLSBORO RD",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441121564",
"telephone_number": "216-242-9143"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "DIANE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-07-02",
"last_updated": "2014-07-02",
"status": "A"
},
"taxonomies": [
{
"code": "171WH0202X",
"taxonomy_group": "",
"desc": "Contractor, Home Modifications",
"state": "OH",
"license": "RM696521",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2651974",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Cleveland, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 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.