NPIMap

Organization Active NPI

Willow Health Care Inc

Doing business as Willow West Apartments

  • Assisted Living Facility
  • Willow Springs, MO
National Provider Identifier
1073651204
Registry record updated Jun 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
310400000X Issued in MO
Legal business name
WILLOW HEALTH CARE INC
Doing business as
Willow West Apartments
Practice address
2644 State Route 76
Willow Springs, MO 65793-8254
Phone
(417) 469-3152
Fax
(417) 469-5304
NPI assigned
Feb 1, 2007
Last updated
Jun 16, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2008

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

Authorized official

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 310400000X MO Primary

Addresses

Primary practice location

2644 State Route 76
Willow Springs, MO 65793-8254

Mailing address

2644 State Route 76
Willow Springs, MO 65793-8254
Phone (417) 469-3152

Other identifiers 1

IdentifierTypeStateIssuer
261474118MedicaidMO

Other names 1

  • Willow West Apartments Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Mountain View Healthcar11 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

2644 State Route 76
Willow Springs, MO 65793
Phone (417) 469-3152

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213574400000",
    "number": "1073651204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2644 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": "2644 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": "WILLOW HEALTH CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-01",
        "last_updated": "2008-06-16",
        "status": "A",
        "authorized_official_last_name": "WILLIAMSON",
        "authorized_official_first_name": "JACKIE",
        "authorized_official_title_or_position": "MEDICARE COORDINATOR",
        "authorized_official_telephone_number": "417-469-3152",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MO",
            "license": "310400000X",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "261474118",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Willow West Apartments",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jun 16, 2008; 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.