NPIMap

Organization Active NPI

A Williamson Care Network, LLC

  • Community/Behavioral Health Agency
  • Greensboro, NC
National Provider Identifier
1669553244
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
MHL041663 Issued in NC
Legal business name
A WILLIAMSON CARE NETWORK, LLC
Practice address
415 N Edgeworth St
Suite 209
Greensboro, NC 27401-2182
Phone
(336) 273-2110
Fax
(336) 273-2114
NPI assigned
Oct 18, 2006
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mrs. Monaca Maye Williamson
Title
Director of Operations
Phone
(336) 273-2110

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X MHL041663 NC Primary

Addresses

Primary practice location

415 N Edgeworth St
Suite 209
Greensboro, NC 27401-2182

Mailing address

PO Box 16803
Greensboro, NC 27416-0803
Phone (336) 273-2110

Other names 1

  • Williamson Supervised Living Home Other name

National Provider Directory

National Provider Directory
Tax ID family
A Plus Williamson Care Network LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1669553244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 16803",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274160803",
            "telephone_number": "336-273-2110",
            "fax_number": "336-273-2114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 N EDGEWORTH ST",
            "address_2": "SUITE 209",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274012182",
            "telephone_number": "336-273-2110",
            "fax_number": "336-273-2114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A WILLIAMSON CARE NETWORK, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-18",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "WILLIAMSON",
        "authorized_official_first_name": "MONACA",
        "authorized_official_middle_name": "MAYE",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "336-273-2110",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": "MHL041663",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Williamson Supervised Living Home",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Jul 21, 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.