Bertha Ree Williams

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

IHCP-1171 Issued in SC

Practice address

25 Woods Lake Rd Ste 305
Greenville, SC 29607-2762

Phone

(864) 263-7245

Fax

(864) 283-6996

NPI assigned

Apr 11, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Second Chance Home Health Care LLC

  • Home Health Agency
  • Greenville, SC
  • NPI 1629602164
  NPD Authorized official

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

{
    "created_epoch": "1554940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596499200000",
    "number": "1689137044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 WOODS LAKE RD STE 305",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296072762",
            "telephone_number": "864-553-3340",
            "fax_number": "864-283-6996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 WOODS LAKE RD STE 305",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296072762",
            "telephone_number": "864-263-7245",
            "fax_number": "864-283-6996"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "106 Maggie St",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "SC",
            "postal_code": "296053643",
            "country_code": "US",
            "telephone_number": "864-553-3340",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "BERTHA",
        "middle_name": "REE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-11",
        "last_updated": "2020-08-04",
        "certification_date": "2020-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "SC",
            "license": "IHCP-1171",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrea Russell Williams, M.D.
• Angela Pauline Williams, LISW-CP
• April Snyder Williams, PT
• Ashley Williams
• Bart David Williams III, MD, DMD
• Bradley Williams, FNP-C
• Bradley B Williams, M.D.
• Brady Philip Williams, RPH
• Brian R Williams, D.M.D.
• Brittany Bashamra Williams, MD

• Home Health Agency in Greenville, SC
• Providers in Greenville, SC by specialty
• Home Health Agency in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 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.