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MS. KENTOYA VENGA WILLIS
NPI 1053814426
Technician - Personal Care Attendant in Tyler, TX

Active since March 13, 2018
4504 EDINBURGH DR, TYLER, TX 75703(903) 539-7754 Get Directions Write a Review

NPPES record last updated: March 13, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Ms. Kentoya Venga Willis NPPES

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

MS. KENTOYA VENGA WILLIS (NPI 1053814426) is an individual personal care attendant in Tyler, Texas and active in the NPI registry since March 2018.

NPPES Registry Identity

NPI1053814426
Entity TypeIndividualFemale
Primary Taxonomy3747P1801X
Provider Legal NameMS. KENTOYA VENGA WILLIS
Location Address4504 EDINBURGH DRTyler, TX 75703-2303
Mailing Address4504 Edinburgh DrTyler, TX 75703-2303 · (903) 539-7754
Phone(903) 539-7754
Sole ProprietorNo
Enumeration DateMarch 13, 2018
✔ NPI 1053814426 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyTechnician · Personal Care AttendantNursing Service Related Providers
Taxonomy Code3747P1801X
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

4504 EDINBURGH DR, Tyler, TX 75703
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Frequently Asked Questions

What is Kentoya Willis's NPI number?

The NPI number assigned to this healthcare provider is 1053814426, enumerated as an "individual" on March 13, 2018.

Where is the provider located?

The provider is located at 4504 EDINBURGH DR TYLER, TX 75703 and the phone number is (903) 539-7754.

What is the provider's specialty?

Technician with taxonomy code 3747P1801X and a focus in Personal Care Attendant.