Active NPI
Wills Corporation
- Skilled Nursing Facility
- Oskaloosa, IA
National Provider Identifier
1093905457
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 620049
- Legal business name
- WILLS CORPORATION
- Doing business as
- Crystal Heights Care Center
- Practice address
- 1514 High Ave W
Oskaloosa, IA 52577-1944 - Phone
- (641) 673-7032
- Fax
- (641) 673-7733
- NPI assigned
- Jul 31, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Wesley J Wills
- Title
- Owner
- Phone
- (641) 660-5686
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 620049 | IA | Primary |
Addresses
Primary practice location
1514 High Ave W
Oskaloosa, IA 52577-1944
Mailing address
1514 High Ave W
Oskaloosa, IA 52577-1944
Phone (641) 660-5686
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0809772 | Medicaid | IA |
Other names 1
- Crystal Heights Care Center
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185840000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1344470400000",
"number": "1093905457",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1514 HIGH AVE W",
"city": "OSKALOOSA",
"state": "IA",
"postal_code": "525771944",
"telephone_number": "641-660-5686",
"fax_number": "641-673-7723"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1514 HIGH AVE W",
"city": "OSKALOOSA",
"state": "IA",
"postal_code": "525771944",
"telephone_number": "641-673-7032",
"fax_number": "641-673-7733"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WILLS CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2007-07-31",
"last_updated": "2012-08-09",
"status": "A",
"authorized_official_last_name": "WILLS",
"authorized_official_first_name": "WESLEY",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "641-660-5686"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "IA",
"license": "620049",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0809772",
"state": "IA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Crystal Heights Care Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Oskaloosa, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.