Organization Active NPI

Simone Williams Afch Inc

  • Adult Care Home Facility
  • Port Charlotte, FL
National Provider Identifier
1811634140
Registry record updated May 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
Legal business name
SIMONE WILLIAMS AFCH INC
Practice address
20175 Hillsborough Blvd
Port Charlotte, FL 33954-4106
Phone
(954) 393-2758
Fax
(941) 883-4418
NPI assigned
May 18, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 18, 2022

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

Authorized official

Name
Simone Williams
Title
Owner/Administrator
Phone
(954) 393-2758

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X Primary

Addresses

Primary practice location

20175 Hillsborough Blvd
Port Charlotte, FL 33954-4106

Mailing address

20175 Hillsborough Blvd
Port Charlotte, FL 33954-4106
Phone (954) 393-2758

Other identifiers 1

IdentifierTypeStateIssuer
024414500MedicaidFL

Other names 1

  • Simone Williams AFCH INC Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1652832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652832000000",
    "number": "1811634140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20175 HILLSBOROUGH BLVD",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339544106",
            "telephone_number": "954-393-2758",
            "fax_number": "941-883-4418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20175 HILLSBOROUGH BLVD",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339544106",
            "telephone_number": "954-393-2758",
            "fax_number": "941-883-4418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIMONE WILLIAMS AFCH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-18",
        "last_updated": "2022-05-18",
        "certification_date": "2022-05-18",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "SIMONE",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "954-393-2758"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "024414500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Simone Williams AFCH INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Port Charlotte, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2022; 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.