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MR. WILLIE CARSON SR.
NPI 1174311674
Technician - Attendant Care Provider in Portage, IN

Active since April 25, 2025
2730 LOIS ST # 1, PORTAGE, IN 46368(219) 654-3019(219) 406-0162 Get Directions Write a Review

NPPES record last updated: April 25, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Willie Carson Sr. NPPES

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

MR. WILLIE CARSON SR. (NPI 1174311674) is an individual attendant care provider provider in Portage, Indiana and active in the NPI registry since April 2025.

NPPES Registry Identity

NPI1174311674
Entity TypeIndividualMale
Primary Taxonomy3747A0650X
Provider Legal NameMR. WILLIE CARSON SR.
Location Address2730 LOIS ST # 1Portage, IN 46368-3532
Mailing Address2730 Lois St # 1Portage, IN 46368-3532 · (219) 654-3019 · Fax (219) 406-0162
Phone(219) 654-3019
Fax(219) 406-0162
Sole ProprietorYes
Enumeration DateApril 25, 2025
NPPES CertifiedApril 25, 2025
✔ NPI 1174311674 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyTechnician · Attendant Care ProviderNursing Service Related Providers
Taxonomy Code3747A0650X
Definition
An individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, or impairment of a physical or cognitive function. This service may include skilled or nursing care to the extent permitted by state law.
Also ListedTechnician · Personal Care AttendantTaxonomy 3747P1801X
2730 LOIS ST # 1, Portage, IN 46368
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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 Willie Carson's NPI number?

The NPI number for Willie Carson is 1174311674. It was assigned to this individual provider in the NPPES registry on April 25, 2025.

Where is Willie Carson located?

Willie Carson practices at 2730 Lois St # 1, Portage, IN 46368. The listed phone number is (219) 654-3019.

What is Willie Carson's specialty?

The primary specialty registered for this NPI is Technician, specializing in Attendant Care Provider, with taxonomy code 3747A0650X.

When was this NPI record last updated?

The NPPES record for Willie Carson was last updated on April 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.