Williams, Inc.

Primary specialty

Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X

License

00173 Issued in MN

Legal business name

WILLIAMS, INC.

Doing business as

Pillsbury Board and Care Home

Practice address

2500 Pillsbury Ave S
Minneapolis, MN 55404-4201

Phone

(612) 872-8363

NPI assigned

May 22, 2007

Organization subpart

No

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

Authorized official

Name

Maria Rog

Title

Biller

Phone

(952) 808-0413

Specialties & licenses 1

Addresses

Other names 1

• Pillsbury Board and Care Home Doing business as

Locations

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1841409836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12004 COUNTY ROAD 11",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553373016",
            "telephone_number": "952-808-0413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 PILLSBURY AVE S",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554044201",
            "telephone_number": "612-872-8363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAMS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ROG",
        "authorized_official_first_name": "MARIA",
        "authorized_official_title_or_position": "BILLER",
        "authorized_official_telephone_number": "952-808-0413"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "MN",
            "license": "00173",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pillsbury Board and Care Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Donovan D Williams, MD
• Douglas Carlton Williams, M.S., LP & LMFT
• Emily T Williams
• Hattie Williams
• Hilary M Williams, BCBA
• Jarron L Williams
• Jay Christopher Williams, DDS
• Jerriah Williams
• Katelyn Williams, PA-C
• Kathi L Williams, LMFT

• Nursing Facility/Intermediate Care Facility in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Nursing Facility/Intermediate Care Facility in Minnesota

• 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.