Active NPI
Henry Williams
- Personal Care Attendant
- Palm Coast, FL
National Provider Identifier
1700324852
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Personal Care Attendant
- Practice address
- 170 Westhampton Dr
Palm Coast, FL 32164-4013 - Phone
- (386) 624-8524
- NPI assigned
- Feb 9, 2017
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foster Care Agency | 253J00000X | |||
| Personal Care Attendant | 3747P1801X | Primary |
Addresses
Primary practice location
170 Westhampton Dr
Palm Coast, FL 32164-4013
Mailing address
170 Westhampton Dr
Palm Coast, FL 32164-4013
Phone (386) 624-8524
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 123 | Other | MEDICAL FOSTER CARE |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1486598400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1547164800000",
"number": "1700324852",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "170 WESTHAMPTON DR",
"city": "PALM COAST",
"state": "FL",
"postal_code": "321644013",
"telephone_number": "386-624-8524"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "170 WESTHAMPTON DR",
"city": "PALM COAST",
"state": "FL",
"postal_code": "321644013",
"telephone_number": "386-624-8524"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "HENRY",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-02-09",
"last_updated": "2019-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "253J00000X",
"taxonomy_group": "",
"desc": "Foster Care Agency",
"state": null,
"license": null,
"primary": false
},
{
"code": "3747P1801X",
"taxonomy_group": "",
"desc": "Technician, Personal Care Attendant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL FOSTER CARE",
"identifier": "123",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Palm Coast, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.