Willowbend at Marion LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

WILLOWBEND AT MARION LLC

Doing business as

Willowbend Nursing and Rehabilitation

Practice address

830 Canal St
Marion, AR 72364-5075

Phone

(870) 739-3268

Fax

(870) 739-4669

NPI assigned

Mar 30, 2018

Last updated

May 7, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Bonnie Quibodeaux

Title

Cfo

Phone

(225) 769-7960

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Willowbend Nursing and Rehabilitation Doing business as

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Arkansas Elder Outreach of Little Rock, Inc

  dba Encore Healthcare & Rehabilitation

  • Skilled Nursing Facility
  • Crowley, LA
  • NPI 1730257296

  Member Of

  NPD member

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

{
    "created_epoch": "1522368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620345600000",
    "number": "1245736214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "830 CANAL ST",
            "city": "MARION",
            "state": "AR",
            "postal_code": "723645075",
            "telephone_number": "870-739-3268",
            "fax_number": "870-739-4669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 CANAL ST",
            "city": "MARION",
            "state": "AR",
            "postal_code": "723645075",
            "telephone_number": "870-739-3268",
            "fax_number": "870-739-4669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLOWBEND AT MARION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-30",
        "last_updated": "2021-05-07",
        "certification_date": "2021-04-30",
        "status": "A",
        "authorized_official_last_name": "QUIBODEAUX",
        "authorized_official_first_name": "BONNIE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "225-769-7960"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "AR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "225152311",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Willowbend Nursing and Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Willowbend Nursing and Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Cristina Whitfield, MHPP
• Ellen Whittington
• Angela Williams
• Ashlyn Brook Williams, APRN-FNP
• Samuel Dewayne Williams
• Willowbend Health and Rehabilitation LLC (Willowbend Health and Rehab)
• Emma Wilson, MHPP
• Frank Wilson, MHPP
• Vernon Wilson
• Michaela Wofford

• Skilled Nursing Facility in Marion, AR
• Providers in Marion, AR by specialty
• Skilled Nursing Facility in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2021; 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.