Organization Active NPI

Willows Way, Inc.

  • Developmentally Disabled Services Day Training Agency
  • Saint Charles, MO
National Provider Identifier
1275654923
Registry record updated Mar 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
WILLOWS WAY, INC.
Practice address
800 Friedens Rd
Saint Charles, MO 63303-4159
Phone
(636) 947-6591
Fax
(636) 947-7385
NPI assigned
Apr 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2025

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

Authorized official

Name
Mr. Francine Nicholson
Title
Director of Finance and Operations
Phone
(636) 757-0506

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X
Developmentally Disabled Services Day Training Agency 251C00000X Primary

Addresses

Primary practice location

800 Friedens Rd
Saint Charles, MO 63303-4159

Mailing address

800 Friedens Rd
Saint Charles, MO 63303-4159
Phone (636) 947-6591

Other identifiers 1

IdentifierTypeStateIssuer
852962604MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240529002322 MO Part B Supplier - Clinic/Group Practice 8921440470 Receives reassigned benefits from 1 practitioner
Practice locations: Saint Charles, MO

National Provider Directory

National Provider Directory
Tax ID family
Willows Way Inc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

800 Friedens Rd
Saint Charles, MO 63303
Phone (636) 947-6591

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742515200000",
    "number": "1275654923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 FRIEDENS RD",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633034159",
            "telephone_number": "636-947-6591",
            "fax_number": "636-947-7385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 FRIEDENS RD",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633034159",
            "telephone_number": "636-947-6591",
            "fax_number": "636-947-7385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLOWS WAY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-02",
        "last_updated": "2025-03-21",
        "certification_date": "2025-03-21",
        "status": "A",
        "authorized_official_last_name": "NICHOLSON",
        "authorized_official_first_name": "FRANCINE",
        "authorized_official_title_or_position": "DIRECTOR OF FINANCE AND OPERATIONS",
        "authorized_official_telephone_number": "636-757-0506",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "852962604",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Charles, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.