Willow Home Health

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

WILLOW HOME HEALTH

Practice address

1010 N Central Ave Ste 304
Glendale, CA 91202-2937

Phone

(800) 988-1985

NPI assigned

Dec 20, 2021

Last updated

Aug 19, 2025By the provider in NPPES

Organization subpart

Yes

Parent organization

GS INVESTMENTS, INC.As reported in NPPES

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

Authorized official

Name

Samira Aliasghari

Title

Ceo

Phone

(800) 988-1985

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1376203257. Details of each certification follow.

• CCN 757679 Home health agency · Active · Details

Home health agency certification: CCN 757679

Legal name

WILLOW HOME HEALTH

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Mar 19, 2024

Last certification

Mar 14, 2024

Organization structure

CorporationProprietary

Enrollment address

13615 Victory Blvd
Ste 217
Van Nuys, CA 91401-6404

Listed as

Willow Home HealthCCN 757679 · All quality measures

Overall star rating

3.5 of 5

Ownership

-

Certified

Mar 19, 2024

Medicare certification status

ActiveFrom the Provider of Services file

Locations

All disclosed owners & managing parties 4

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

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

{
    "created_epoch": "1639958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755561600000",
    "number": "1376203257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 N CENTRAL AVE STE 304",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912022937",
            "telephone_number": "800-988-1985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 N CENTRAL AVE STE 304",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912022937",
            "telephone_number": "800-988-1985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLOW HOME HEALTH",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GS INVESTMENTS, INC.",
        "enumeration_date": "2021-12-20",
        "last_updated": "2025-08-19",
        "certification_date": "2025-08-19",
        "status": "A",
        "authorized_official_last_name": "ALIASGHARI",
        "authorized_official_first_name": "SAMIRA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "800-988-1985"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donald J Williams, M.D.
• Grant P. Williams, M.D.
• Jade Lynnay Williams
• Renee D Williams, LMFT
• Willow Brook Critical Care Medical Group, Inc
• Willow Tree Therapy
• Audrianna Marie Wilson, HS
• Win P Naing DDS Dental Corporation
• Windsor Home Health Care
• Windsor Surgery Center LLC

• Home Health Agency in Glendale, CA
• Providers in Glendale, CA by specialty
• Home Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.