Williams Care Facilities

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

032922 Issued in MO

Legal business name

WILLIAMS CARE FACILITIES

Doing business as

Valley Road Inn

Practice address

21 & O Hwy
Grandin, MO 63943

Phone

(573) 593-4462

Fax

(573) 593-4510

NPI assigned

Apr 20, 2007

Last updated

Aug 22, 2020By 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

Mr. Jerry L Williams

Title

Owner

Phone

(573) 593-4462

Specialties & licenses 1

Addresses

Other names 1

• Valley Road Inn Doing business as

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

{
    "created_epoch": "1177027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1730307406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 57",
            "city": "GRANDIN",
            "state": "MO",
            "postal_code": "639430057",
            "telephone_number": "573-593-4462",
            "fax_number": "573-593-4510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 & O HWY",
            "city": "GRANDIN",
            "state": "MO",
            "postal_code": "63943",
            "telephone_number": "573-593-4462",
            "fax_number": "573-593-4510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAMS CARE FACILITIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "JERRY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "573-593-4462",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MO",
            "license": "032922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Valley Road Inn",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• 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.