The Williams House

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

Legal business name

THE WILLIAMS HOUSE

Practice address

1129 Horseshoe Rd
Elizabeth City, NC 27909-8507

Phone

(252) 202-2711

NPI assigned

Aug 22, 2022

Last updated

Aug 22, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jeramy B Williams

Title

Co-Owner / Administrator

Phone

(225) 220-2271

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1661126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661126400000",
    "number": "1669190989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 WINDFIELD DR",
            "city": "ELIZABETH CITY",
            "state": "NC",
            "postal_code": "279096244",
            "telephone_number": "252-202-2711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1129 HORSESHOE RD",
            "city": "ELIZABETH CITY",
            "state": "NC",
            "postal_code": "279098507",
            "telephone_number": "252-202-2711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE WILLIAMS HOUSE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-22",
        "last_updated": "2022-08-22",
        "certification_date": "2022-08-22",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "JERAMY",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "CO-OWNER / ADMINISTRATOR",
        "authorized_official_telephone_number": "225-220-2271"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Adult Care Home Facility in Elizabeth City, NC
• Providers in Elizabeth City, NC by specialty
• Adult Care Home Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2022; 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.