Organization Active NPI

Wills Corporation

  • Skilled Nursing Facility
  • Oskaloosa, IA
National Provider Identifier
1093905457
Registry record updated Aug 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
620049 Issued in IA
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

Updated by the provider on Aug 9, 2012

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0809772MedicaidIA

Other names 1

  • Crystal Heights Care Center Doing business as

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.