Willow Brooke Homes

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

Legal business name

WILLOW BROOKE HOMES

Practice address

1903 Stacy Rd
Harrisonville, MO 64701-3574

Phone

(816) 380-2143

NPI assigned

Mar 21, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Randy R Matthew

Title

Assist. Administrator

Phone

(816) 456-2375

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1528184736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1903 STACY RD",
            "city": "HARRISONVILLE",
            "state": "MO",
            "postal_code": "647013574",
            "telephone_number": "816-380-2143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1903 STACY RD",
            "city": "HARRISONVILLE",
            "state": "MO",
            "postal_code": "647013574",
            "telephone_number": "816-380-2143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLOW BROOKE HOMES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MATTHEW",
        "authorized_official_first_name": "RANDY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "ASSIST. ADMINISTRATOR",
        "authorized_official_telephone_number": "816-456-2375",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "MO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelsey Wendt, LPC, LCMHC
• Lynette Wescoat, PHARMD
• Westchester Family Care PC
• Andrea Whalen
• Elizabeth A Williamson, PHARMD
• Amanda Sue Wilson, FNP-BC
• Marlene Wilson
• Crystal Dawn Wise, FNP
• Roger P. Wise, PSY.D.
• Mary Woods, LPC

• Developmentally Disabled Services Day Training Agency in Harrisonville, MO
• Providers in Harrisonville, MO by specialty
• Developmentally Disabled Services Day Training Agency in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.