NPIMap

Organization Active NPI

Willow Brook Christian Services

Doing business as Willow Brook By Day

  • Adult Day Care Clinic/Center
  • Delaware, OH
National Provider Identifier
1376094383
Registry record updated Oct 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
Legal business name
WILLOW BROOK CHRISTIAN SERVICES
Doing business as
Willow Brook By Day
Practice address
100 Willow Brook Way S
Delaware, OH 43015-3249
Phone
(740) 369-5447
Fax
(740) 369-7034
NPI assigned
Oct 14, 2016
Last updated
Oct 14, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2016

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

Authorized official

Name
Mr. Thomas Neill Poulson
Title
Cfo
Phone
(740) 201-5671

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X Primary

Addresses

Primary practice location

100 Willow Brook Way S
Delaware, OH 43015-3249

Mailing address

100 Delaware Xing W
Delaware, OH 43015-7853
Phone (740) 201-5640

Other names 1

  • Willow Brook By Day Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Willow Brook Christian Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1476403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476403200000",
    "number": "1376094383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 DELAWARE XING W",
            "city": "DELAWARE",
            "state": "OH",
            "postal_code": "430157853",
            "telephone_number": "740-201-5640",
            "fax_number": "740-201-5670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 WILLOW BROOK WAY S",
            "city": "DELAWARE",
            "state": "OH",
            "postal_code": "430153249",
            "telephone_number": "740-369-5447",
            "fax_number": "740-369-7034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLOW BROOK CHRISTIAN SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-14",
        "last_updated": "2016-10-14",
        "status": "A",
        "authorized_official_last_name": "POULSON",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "NEILL",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "740-201-5671",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Willow Brook By Day",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Delaware, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 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.