NPIMap

Organization Active NPI

Willow Health Care Inc Dba Riverview Place

Doing business as Riverview Residential Place

  • Assisted Living Facility
  • Ozark, MO
National Provider Identifier
1093160095
Registry record updated Jul 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
WILLOW HEALTH CARE INC DBA RIVERVIEW PLACE
Doing business as
Riverview Residential Place
Practice address
1200 W Hall St
Ozark, MO 65721-9103
Phone
(417) 581-6025
Fax
(417) 581-4652
NPI assigned
Apr 27, 2016
Organization subpart
Yes
Parent organization
WILLOW HEALTH CARE INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 12, 2016

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

Authorized official

Name
Mrs. Sherry D Miller
Title
VP of Finance
Phone
(417) 469-0204

Specialties & licenses 1

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

Addresses

Primary practice location

1200 W Hall St
Ozark, MO 65721-9103

Mailing address

PO Box 309
Willow Springs, MO 65793-8254
Phone (417) 469-0204

Other identifiers 1

IdentifierTypeStateIssuer
263757908MedicaidMO

Other names 1

  • Riverview Residential Place Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Westwood Rural Health C11 organizations share this tax ID, including this one
Part of
Westwood Rural Health C

Other organizations with this tax ID 10

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

NPI Registry JSON

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

{
    "created_epoch": "1461715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468281600000",
    "number": "1093160095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 309",
            "city": "WILLOW SPRINGS",
            "state": "MO",
            "postal_code": "657938254",
            "telephone_number": "417-469-0204",
            "fax_number": "417-469-3443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 W HALL ST",
            "city": "OZARK",
            "state": "MO",
            "postal_code": "657219103",
            "telephone_number": "417-581-6025",
            "fax_number": "417-581-4652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLOW HEALTH CARE INC DBA RIVERVIEW PLACE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WILLOW HEALTH CARE INC",
        "enumeration_date": "2016-04-27",
        "last_updated": "2016-07-12",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "SHERRY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "VP OF FINANCE",
        "authorized_official_telephone_number": "417-469-0204",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "263757908",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Riverview Residential Place",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ozark, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2016; 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.