Active NPI
Willcare
- Home Health Agency
- Cheektowaga, NY
National Provider Identifier
1104141787
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 2172351
- Legal business name
- WILLCARE
- Practice address
- 110 Park Edge Dr
Cheektowaga, NY 14225-4028 - Phone
- (716) 893-8468
- NPI assigned
- Apr 7, 2010
- 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
- Amril Deslandes
- Title
- LPN
- Phone
- (716) 893-8468
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 2172351 | NY | Primary |
Addresses
Primary practice location
110 Park Edge Dr
Cheektowaga, NY 14225-4028
Mailing address
110 Park Edge Dr
Cheektowaga, NY 14225-4028
Phone (716) 893-8468
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1270598400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1270598400000",
"number": "1104141787",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 PARK EDGE DR",
"city": "CHEEKTOWAGA",
"state": "NY",
"postal_code": "142254028",
"telephone_number": "716-893-8468"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 PARK EDGE DR",
"city": "CHEEKTOWAGA",
"state": "NY",
"postal_code": "142254028",
"telephone_number": "716-893-8468"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WILLCARE",
"organizational_subpart": "NO",
"enumeration_date": "2010-04-07",
"last_updated": "2010-04-07",
"status": "A",
"authorized_official_last_name": "DESLANDES",
"authorized_official_first_name": "AMRIL",
"authorized_official_title_or_position": "LPN",
"authorized_official_telephone_number": "716-893-8468"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "NY",
"license": "2172351",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cheektowaga, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.