Williamson Care Centers,Inc.

Primary specialty

Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X

License

NH 5401-5401 Issued in OK

Legal business name

WILLIAMSON CARE CENTERS,INC.

Practice address

300 W 9
Weleetka, OK 74880

Phone

(405) 786-2244

Fax

(405) 786-2566

NPI assigned

Jun 28, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Jerry Ray Williamson

Title

Shareholder/Administrator

Phone

(405) 786-2244

Specialties & licenses 1

Addresses

Other names 1

• Rainbow Terrace Care Center Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Terry Hermance, MD

  • Family Medicine Physician
  • Oklahoma City, OK
  • NPI 1518980580
  NPD (past)
• Kimber Marie Sanderson, APRN

  • Family Nurse Practitioner
  • Weleetka, OK
  • NPI 1710519004
  NPD (past)

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

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1629005137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 W 9",
            "city": "WELEETKA",
            "state": "OK",
            "postal_code": "74880",
            "telephone_number": "405-786-2244",
            "fax_number": "405-786-2566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 W 9",
            "city": "WELEETKA",
            "state": "OK",
            "postal_code": "74880",
            "telephone_number": "405-786-2244",
            "fax_number": "405-786-2566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAMSON CARE CENTERS,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WILLIAMSON",
        "authorized_official_first_name": "JERRY",
        "authorized_official_middle_name": "RAY",
        "authorized_official_title_or_position": "SHAREHOLDER/ADMINISTRATOR",
        "authorized_official_telephone_number": "405-786-2244",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "OK",
            "license": "NH 5401-5401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rainbow Terrace Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kristin Sheneman, PHARM. D
• Weleetka Drug Incorporated
• Weleetka Graham EMS
• Weleetka Public Schools
• Vester Joe Williams II, PARAMEDIC
• Robin Kay Woods

• Nursing Facility/Intermediate Care Facility in Weleetka, OK
• Providers in Weleetka, OK by specialty
• Nursing Facility/Intermediate Care Facility in Oklahoma

• 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.