Willow Park Home Health Care Services, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

WILLOW PARK HOME HEALTH CARE SERVICES, INC.

Practice address

4971 E I-20 Service Rd. N
Willow Park, TX 76087-3220

Phone

(817) 441-2080

Fax

(817) 441-2081

NPI assigned

Jul 17, 2015

Organization subpart

No

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

Authorized official

Name

Bunmi Bamidele

Title

Owner

Phone

(817) 441-2080

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1437091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458950400000",
    "number": "1164806394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4971 E I-20 SERVICE RD. N",
            "city": "WILLOW PARK",
            "state": "TX",
            "postal_code": "760873220",
            "telephone_number": "817-441-2080",
            "fax_number": "817-441-2081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4971 E I-20 SERVICE RD. N",
            "city": "WILLOW PARK",
            "state": "TX",
            "postal_code": "760873220",
            "telephone_number": "817-441-2080",
            "fax_number": "817-441-2081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLOW PARK HOME HEALTH CARE SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-17",
        "last_updated": "2016-03-26",
        "status": "A",
        "authorized_official_last_name": "BAMIDELE",
        "authorized_official_first_name": "BUNMI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-441-2080"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Marie Wight, FNP-C
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• Tina Ann Wilkinson Moore, PA
• Jessica Danielle Williams, DO
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• Russell S Wood, PH.D.
• Wpal 2015 LLC

• Home Health Agency in Willow Park, TX
• Providers in Willow Park, TX by specialty
• Home Health Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 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.