Derrick Jose Williams
NPI 1780370825ActiveIndividual· Private Vehicle· Canton, OH
Private Vehicle in Canton, Ohio, licensed in OH, with an NPI issued in April 2023.
Overview
| NPI | 1780370825 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | Yes |
| NPI issued | Apr 12, 2023 |
| Last updated in NPPES | Sep 15, 2023 |
| Certified by provider | Sep 15, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Private Vehicle Primary | 347C00000X | RP085271 | OH |
| Home Delivered Meals | 332U00000X | RP085271 | OH |
| Homemaker | 376J00000X | RP085271 | OH |
| Respite Care | 385H00000X | RP085271 | OH |
| Respite Care, Respite Care, Mental Illness, Child | 385HR2055X | RP085271 | OH |
| Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | 385HR2060X | RP085271 | OH |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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All 18 Private Vehicle providers in Canton · All Private Vehicle providers in Ohio