Organization Active NPI

Willowgrove Homecare

  • Nursing Care Agency
  • Calhoun, GA
National Provider Identifier
1013895010
Registry record updated Oct 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Care AgencyTaxonomy code 251J00000X
Legal business name
WILLOWGROVE HOMECARE
Practice address
105 JW Plaza Dr SE Ste 10
Calhoun, GA 30701-1503
Phone
(706) 383-6376
NPI assigned
Aug 26, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Marina ParkerNPI 1558226746
Title
Administrator
Phone
(706) 383-6376

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Care Agency 251J00000X Primary
In Home Supportive Care Agency 253Z00000X

Addresses

Primary practice location

105 JW Plaza Dr SE Ste 10
Calhoun, GA 30701-1503

Mailing address

105 JW Plaza Dr SE Ste 10
Calhoun, GA 30701-1503
Phone (706) 383-6376

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
11D2333123Willowgrove Homecare105 JW Plaza Drive, Suite 10, Calhoun, GA 30701Certificate of waiverOct 29, 2027

National Provider Directory

National Provider Directory

Locations

105 Jw Plaza Dr SE
Ste 10
Calhoun, GA 30701
Phone (706) 383-6376

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1756166400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760400000000",
    "number": "1013895010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 JW PLAZA DR SE STE 10",
            "city": "CALHOUN",
            "state": "GA",
            "postal_code": "307011503",
            "telephone_number": "706-383-6376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 JW PLAZA DR SE STE 10",
            "city": "CALHOUN",
            "state": "GA",
            "postal_code": "307011503",
            "telephone_number": "706-383-6376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLOWGROVE HOMECARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-26",
        "last_updated": "2025-10-14",
        "certification_date": "2025-10-14",
        "status": "A",
        "authorized_official_last_name": "PARKER",
        "authorized_official_first_name": "MARINA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "706-383-6376"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Calhoun, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.