MR. WILLIE EDWARD BOYD (NPI# 1912109067) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912109067 |
| Entity Type | Individual |
| Full Name | MR. WILLIE EDWARD BOYD |
| Practice Address |
315 East Cliffwood Longview TX 75603 |
| Practice Telephone | 9036432129 |
| Practice Fax Number | 9036430307 |
| Mailing Telephone | 9036432129 |
| Mailing Fax Number | 9036430307 |
| Enumeration Date | 2007-06-01 |
| Last Update Date | 2014-12-29 |
| NPI Deactivation Date | 01/22/2008 |
| NPI Reactivation Date | 2014-12-29 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | TX | Nursing & Custodial Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518171990 | Willie Ruth Boyd | Licensed Practical Nurse | 5292 Big Bend Dr, Dayton, OH 45427 | 2007-05-09 |
| 1770546574 | Willie L Boyd | Specialist | 2719 Middleburg Dr, Suite 203, Columbia, SC 29204-2414 | 2006-04-11 |
| 1659842326 | Willie Bernard Boyd | Case Manager/Care Coordinator | 6666 Green Valley Cir, Culver City, CA 90230-7068 | 2018-12-06 |
| Street Address |
315 EAST CLIFFWOOD |
| City | LONGVIEW |
| State | TX |
| Zip Code | 75603 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639681711 | Cuc Linh Thi Huynh | Pharmacist | 4006 Estes Pwky, Longview, TX 75603 | 2017-10-30 |
| 1295869899 | Wal-mart Stores Texas LLC | Durable Medical Equipment & Medical Supplies | 4006 Estes Pkwy, Longview, TX 75603-1712 | 2007-03-15 |
| 1528199882 | Wal-mart Stores Texas, LLC | Technician/Technologist | 4006 Estes Pkwy, Longview, TX 75603-1712 | 2007-03-08 |
| 1780184275 | Latonya Toliver | Licensed Vocational Nurse | 5091 Fm 2011, Longview, TX 75603-3126 | 2018-02-20 |
| 1699970020 | Summit Sitter Services, Inc. | Home Health | 4206 Fm 2011, Longview, TX 75603-3196 | 2007-06-16 |
| 1184058067 | Regina A. Phillips | Community Health Worker | 660 Pleasant Green Rd, Longview, TX 75603-4342 | 2013-08-27 |
| 1265913719 | Dianne Renee Sprayberry | Licensed Vocational Nurse | 2073 Fm 2011 # 91, Longview, TX 75603-4344 | 2018-08-23 |
| 1366957961 | Willetta Denice Brown | Assisted Living Facility | 2508 S Main St, Longview, TX 75603-5011 | 2017-12-05 |
| 1265834154 | Garrett's Healthcare Services | Clinic/Center | 1670 Fm 2906, Longview, TX 75603-6331 | 2014-09-23 |
| 1467687475 | Kyndal Kare | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 794 Pegues Rd, Longview, TX 75603-6616 | 2009-05-19 |
| Find all providers in zip 75603 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881174118 | Chg Senior Living of Longview, LLC | Assisted Living Facility | 3102a Gilmer Rd, Longview, TX 75604-1439 | 2018-08-16 |
| 1700377363 | Chevell Dixon | Assisted Living Facility | 168 Lonesome Pine Rd, Longview, TX 75605-7300 | 2018-05-19 |
| 1366957961 | Willetta Denice Brown | Assisted Living Facility | 2508 S Main St, Longview, TX 75603-5011 | 2017-12-05 |
| 1265890628 | Csl 2015 Longview LLC | Assisted Living Facility | 1155 E Hawkins Pkwy, Longview, TX 75605-8070 | 2016-02-01 |
| 1386823359 | Assisted Living Concepts Inc | Assisted Living Facility | 2104 Alpine Road, Longview, TX 75601 | 2007-10-26 |
| 1679793319 | Shirley Anderson | Assisted Living Facility | 2016 S High St, Longview, TX 75602-3248 | 2007-04-26 |
| 1346468444 | Shirley Anderson | Assisted Living Facility | 1511 S Mobberly Ave, Longview, TX 75602-2935 | 2007-04-23 |
| 1285852798 | Colonial Village Lv Property, Ltd | Assisted Living Facility | 2910 N Eastman Rd, Longview, TX 75605-5029 | 2007-04-22 |
| 1427271980 | Esc Iv Lp | Assisted Living Facility | 2920 N Eastman Rd, Longview, TX 75605-5099 | 2007-04-11 |
| 1861559841 | Longview II Enterprises, LLC | Assisted Living Facility | 3102 Gilmer Rd, A, Longview, TX 75604-1439 | 2007-01-02 |
| Find all providers in LONGVIEW | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.