J Williams ENT, LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

IHS.FS.00000031 Issued in WA

Legal business name

J WILLIAMS ENT, LLC

Doing business as

Home Instead Senior Care

Practice address

9120 NE Vancouver Mall Loop
Suite 240
Vancouver, WA 98662-6353

Phone

(360) 253-6028

Fax

(360) 253-6029

NPI assigned

Jun 13, 2016

Organization subpart

No

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

Authorized official

Name

Ms. Julie Anne Williams

Title

Franchise Owner

Phone

(360) 253-6028

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Home Instead Senior Care Doing business as

Locations

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

{
    "created_epoch": "1465776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465776000000",
    "number": "1780034561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9120 NE VANCOUVER MALL LOOP",
            "address_2": "SUITE 240",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986626353",
            "telephone_number": "360-253-6028",
            "fax_number": "360-253-6029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9120 NE VANCOUVER MALL LOOP",
            "address_2": "SUITE 240",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986626353",
            "telephone_number": "360-253-6028",
            "fax_number": "360-253-6029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J WILLIAMS ENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-13",
        "last_updated": "2016-06-13",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "FRANCHISE OWNER",
        "authorized_official_telephone_number": "360-253-6028",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "WA",
            "license": "IHS.FS.00000031",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FECA",
            "identifier": "618263800",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Home Instead Senior Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• In Home Supportive Care Agency in Vancouver, WA
• Providers in Vancouver, WA by specialty
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 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.