Willis House Incorporated

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

License

AS630275064 Issued in MI

Legal business name

WILLIS HOUSE INCORPORATED

Practice address

82 Franklin Blvd
Pontiac, MI 48341-1703

Phone

(248) 320-6569

Fax

(866) 232-1309

NPI assigned

Jan 14, 2016

Organization subpart

No

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

Authorized official

Name

Ms. Angela D Barge, M.B.A

Title

Executive Director

Phone

(248) 320-6569

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1452729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452729600000",
    "number": "1730545146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "82 FRANKLIN BLVD",
            "city": "PONTIAC",
            "state": "MI",
            "postal_code": "483411703",
            "telephone_number": "248-320-6569",
            "fax_number": "866-232-1309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "82 FRANKLIN BLVD",
            "city": "PONTIAC",
            "state": "MI",
            "postal_code": "483411703",
            "telephone_number": "248-320-6569",
            "fax_number": "866-232-1309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIS HOUSE INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-14",
        "last_updated": "2016-01-14",
        "status": "A",
        "authorized_official_last_name": "BARGE",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "248-320-6569",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.B.A"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "MI",
            "license": "AS630275064",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Keith Williams, LPN
• Kim Williams
• Lynn Williams, LLMSW
• Tamia Williams
• Sheila R. Williamson, CRNA
• Carly Amber Willis
• Gary L Willyerd, D.O.
• Alec Wilson, M.D.
• Jennifer Wims-Madden, MSN, PMHNP-BC
• Ned Z Winkelman, M.D.

• Developmentally Disabled Services Day Training Agency in Pontiac, MI
• Providers in Pontiac, MI by specialty
• Developmentally Disabled Services Day Training Agency in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2016; 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.