Organization Active NPI

The Willows of Marshalltown LLC

  • Assisted Living Facility
  • Marshalltown, IA
National Provider Identifier
1386122455
Registry record updated Aug 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
S0379 Issued in IA
Legal business name
THE WILLOWS OF MARSHALLTOWN LLC
Practice address
2315 Campbell Drive
Marshalltown, IA 50158
Phone
(641) 758-3123
NPI assigned
Aug 1, 2018
Last updated
Aug 1, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2018

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

Authorized official

Name
Ben Daniels
Title
President
Phone
(641) 451-0898

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X S0379 IA Primary

Addresses

Primary practice location

2315 Campbell Drive
Marshalltown, IA 50158

Mailing address

2315 Campbell Drive
Marshalltown, IA 50158
Phone (641) 758-3123

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
16D2194224The Willows of Marshalltown2315 Campbell Drive, Marshalltown, IA 50158Certificate of waiverSep 28, 2026

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1533081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1533081600000",
    "number": "1386122455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2315 CAMPBELL DRIVE",
            "city": "MARSHALLTOWN",
            "state": "IA",
            "postal_code": "50158",
            "telephone_number": "641-758-3123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2315 CAMPBELL DRIVE",
            "city": "MARSHALLTOWN",
            "state": "IA",
            "postal_code": "50158",
            "telephone_number": "641-758-3123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE WILLOWS OF MARSHALLTOWN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-01",
        "last_updated": "2018-08-01",
        "status": "A",
        "authorized_official_last_name": "DANIELS",
        "authorized_official_first_name": "BEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "641-451-0898"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "IA",
            "license": "S0379",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marshalltown, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.