NPIMap

Organization Active NPI

Willow Health Care Inc

  • Home Health Agency
  • Willow Springs, MO
National Provider Identifier
1366443913
Registry record updated Jul 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
00010570 Issued in MO
Legal business name
WILLOW HEALTH CARE INC
Practice address
2642 State Route 76
Willow Springs, MO 65793-0000
Phone
(417) 469-0204
Fax
(417) 469-3443
NPI assigned
Aug 4, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2011

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

Authorized official

Name
Mrs. Sherry Miller, CPA
Title
Chief Fianancial Officer
Phone
(417) 469-3152

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 00010570 MO Primary

Addresses

Primary practice location

2642 State Route 76
Willow Springs, MO 65793-0000

Mailing address

PO Box 309
Willow Springs, MO 65793-0309
Phone (417) 469-3152

Other identifiers 1

IdentifierTypeStateIssuer
581474103MedicaidMO

Other names 1

  • Westwood Home Health Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100125000383 MO Part A Provider - Home Health Agency 2062401466 Practice locations: Willow Springs, MO

Home health agency certification: CCN 267505

Legal name
WILLOW HEALTH CARE INC
Doing business as
WESTWOOD HOME HEALTH
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Mar 12, 1996
Last certification
Jun 6, 2018
Ownership / control type
Non-Profit
Organization structure
CorporationNon-profit
Enrollment address
2642 State Route 76
PO Box 309
Willow Springs, MO 65793-8254
HHA Branch

Other NPIs with the same Medicare PAC ID 6

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Home health agency

Medicare Care Compare
Listed as
Westwood Home HealthCCN 267505
Overall star rating
2 of 5
Ownership
Non-Profit
Certified
Mar 12, 1996
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
26D1088262Westwood Home Health2642 State Route 76, Willow Springs, MO 65793Certificate of waiverAug 19, 2026

National Provider Directory

National Provider Directory
Tax ID family
Westwood Rural Health C11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

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

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 10

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Dennis Vonallmen Individual Corporate Director Dec 2, 2009
Abigail Davis Individual W-2 Managing EmployeeFinancial Specialist Jul 1, 2024
Willow Health Care Inc Organization, Willow Springs, MO Non-profit, Chain home office 5% Or Greater Direct Ownership Interest Dec 2, 2009 100%
Emily Counts Individual Corporate OfficerCeo Nov 20, 2020
W-2 Managing EmployeeCeo Nov 20, 2020
James Ogden Individual Corporate Director Dec 2, 2009
Linda L Elijah Individual Corporate Director Apr 15, 2012
Gary Yarber Individual Corporate Director Sep 15, 2013
Donna Mattera Individual Corporate OfficerCfo Jul 1, 2024
W-2 Managing EmployeeCfo Jul 1, 2024
Linda Tooley Individual W-2 Managing Employee Aug 23, 2010
Operational/Managerial ControlAdministrator Aug 23, 2010
Elquin Auala Individual Corporate Director Dec 2, 2009

Owners & managing parties with NPI records 6

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 5

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Brooke Haven HealthcareWest Plains, MO, CCN 265400 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Nov 1, 2003
Nov 1, 2003
Mountain View HealthcareMountain View, MO, CCN 265412 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Sep 22, 2009
Willow Care Nursing HomeWillow Springs, MO, CCN 265335 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Dec 2, 2009
Ozark Riverview ManorOzark, MO, CCN 265464 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Oct 1, 2015
Oct 1, 2015
Westwood Rural Health ClinicWillow Springs, MO, CCN 793860 Rural health clinic 5% Or Greater Direct Ownership Interest Dec 2, 2009

Owned or controlled facilities with NPI records 5

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 5

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Affiliated clinicians 6

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1123113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1311292800000",
    "number": "1366443913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 309",
            "city": "WILLOW SPRINGS",
            "state": "MO",
            "postal_code": "657930309",
            "telephone_number": "417-469-3152",
            "fax_number": "417-469-5304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2642 STATE ROUTE 76",
            "city": "WILLOW SPRINGS",
            "state": "MO",
            "postal_code": "657930000",
            "telephone_number": "417-469-0204",
            "fax_number": "417-469-3443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLOW HEALTH CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-04",
        "last_updated": "2011-07-22",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "SHERRY",
        "authorized_official_title_or_position": "CHIEF FIANANCIAL OFFICER",
        "authorized_official_telephone_number": "417-469-3152",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MO",
            "license": "00010570",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "581474103",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Westwood Home Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Willow Springs, MO

Sources for this page

Verify at the official NPI Registry.