DR. JUAN DEON WILLIAMS
NPI 1003542937
Technician - Personal Care Attendant in Fort Wayne, IN

Active since July 25, 2022
2843 E STATE BLVD, FORT WAYNE, IN 46805(260) 750-2889 Get Directions Write a Review

NPPES record last updated: July 25, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Juan Deon Williams NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JUAN DEON WILLIAMS (NPI 1003542937) is an individual personal care attendant in Fort Wayne, Indiana, licensed in Indiana (BA11300072) and active in the NPI registry since July 2022.

NPPES Registry Identity

NPI1003542937
Entity TypeIndividualMale
Primary Taxonomy3747P1801X
Provider Legal NameDR. JUAN DEON WILLIAMS
Location Address2843 E STATE BLVDFort Wayne, IN 46805-4732
Mailing Address817 E Berry StFort Wayne, IN 46803-3905 · (260) 418-6528
Sole ProprietorYes
Enumeration DateJuly 25, 2022
NPPES CertifiedJuly 25, 2022
NPI 1003542937 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyTechnician · Personal Care AttendantNursing Service Related Providers
Taxonomy Code3747P1801X
License Licensed in IN · BA11300072
Definition
An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards
2843 E STATE BLVD, Fort Wayne, IN 46805

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Point of Service
2843 E STATE BLVD
FORT WAYNE, IN 46805

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Juan Williams's NPI number?

The NPI number for Juan Williams is 1003542937. It was assigned to this individual provider in the NPPES registry on July 25, 2022.

Where is Juan Williams located?

Juan Williams practices at 2843 E State Blvd, Fort Wayne, IN 46805. The listed phone number is (260) 750-2889.

What is Juan Williams's specialty?

The primary specialty registered for this NPI is Technician, specializing in Personal Care Attendant, with taxonomy code 3747P1801X.

When was this NPI record last updated?

The NPPES record for Juan Williams was last updated on July 25, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.