MEDICARE: T. WILLIAMS ENTERPRISES CORP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163WC2100X	Continence Care Registered Nurse
2	251E00000X	Home Health Agency
3	253Z00000X	In Home Supportive Care Agency
4	385H00000X	Respite Care	HCO-18900	VA
5	3747P1801X	Personal Care Attendant	HCO-18900	VA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1821332198
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	T. WILLIAMS ENTERPRISES CORP

Provider Business Mailing Address
First Line	:	1021 EDEN WAY N
Second Line	:	SUITE 120
City	:	CHESAPEAKE
State	:	VA
Zip	:	23320-2776
Country	:	US
Telephone Number	:	757-424-9800
Fax Number	:	757-424-9801

Provider Business Practice Location Address
First Line	:	1021 EDEN WAY N
Second Line	:	SUITE 120
City	:	CHESAPEAKE
State	:	VA
Zip	:	23320-2776
Country	:	US
Telephone Number	:	757-424-9800
Fax Number	:	757-424-9801

Authorized Official
Title or Position	:	OWNER
Name	:	MS. TARSHA L WILLIAMS
Credential	:
Telephone Number	:	757-478-7336

Provider Enumeration Date	:	11/26/2012
Last Update Date	:	02/21/2024

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Directions to “T. WILLIAMS ENTERPRISES CORP ” Practice Location

Language	Start Address	Practice Location

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