Willow Creek Home Care of St. George, L.L.C.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

WILLOW CREEK HOME CARE OF ST. GEORGE, L.L.C.

Practice address

229 E Saint George Blvd
St George, UT 84770-2970

Phone

(888) 394-5569

NPI assigned

Mar 16, 2009

Last updated

Mar 16, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Trace D. Osborne, C.P.A.

Title

Registered Agent

Phone

(801) 281-9669

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1237161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237161600000",
    "number": "1427299726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1935 VINE ST",
            "address_2": "SUITE 420",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841212192",
            "telephone_number": "801-281-9669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "229 E SAINT GEORGE BLVD",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847702970",
            "telephone_number": "888-394-5569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLOW CREEK HOME CARE OF ST. GEORGE, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-16",
        "last_updated": "2009-03-16",
        "status": "A",
        "authorized_official_last_name": "OSBORNE",
        "authorized_official_first_name": "TRACE",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "REGISTERED AGENT",
        "authorized_official_telephone_number": "801-281-9669",
        "authorized_official_credential": "C.P.A."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in St George, UT
• Providers in St George, UT by specialty
• Home Health Agency in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2009; 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.