NPIMap

Organization Active NPI

Westwood Home Care

  • In Home Supportive Care Agency
  • Willow Springs, MO
National Provider Identifier
1053459073
Registry record updated Jan 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
WESTWOOD HOME CARE
Practice address
2642 State Route 76
Willow Springs, MO 65793-8254
Phone
(417) 469-3152
Fax
(417) 469-5304
NPI assigned
Feb 2, 2007
Last updated
Jan 31, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2022

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

Authorized official

Name
Mrs. Jackie Williamson
Title
Medicare Billing Coordinator
Phone
(417) 469-3152

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X NU Primary

Addresses

Primary practice location

2642 State Route 76
Willow Springs, MO 65793-8254

Mailing address

2642 State Route 76
Willow Springs, MO 65793-8254
Phone (417) 469-3152

Other identifiers 1

IdentifierTypeStateIssuer
261474100MedicaidMO

Other names 1

  • Willow Health Care INC Other name

National Provider Directory

National Provider Directory
Tax ID family
Westwood Home Care11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2642 State Route 76
Willow Springs, MO 65793
Phone (417) 469-0204

NPI Registry JSON

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

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643587200000",
    "number": "1053459073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2642 STATE ROUTE 76",
            "city": "WILLOW SPRINGS",
            "state": "MO",
            "postal_code": "657938254",
            "telephone_number": "417-469-3152",
            "fax_number": "417-469-5304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2642 STATE ROUTE 76",
            "city": "WILLOW SPRINGS",
            "state": "MO",
            "postal_code": "657938254",
            "telephone_number": "417-469-3152",
            "fax_number": "417-469-5304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTWOOD HOME CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-02",
        "last_updated": "2022-01-31",
        "certification_date": "2022-01-31",
        "status": "A",
        "authorized_official_last_name": "WILLIAMSON",
        "authorized_official_first_name": "JACKIE",
        "authorized_official_title_or_position": "MEDICARE BILLING COORDINATOR",
        "authorized_official_telephone_number": "417-469-3152",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "261474100",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Willow Health Care INC",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Willow Health Care INC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Willow Springs, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.