Willows at Worcester LLC

Primary specialty

Custodial Care FacilityTaxonomy code 311Z00000X

Legal business name

WILLOWS AT WORCESTER LLC

Practice address

101 Barry Rd
Worcester, MA 01609-1154

Phone

(508) 798-3727

NPI assigned

Apr 9, 2008

Last updated

Jan 20, 2012By 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

Gary Sacon

Title

Chief Financial Officer

Phone

(508) 898-3490

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1207699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327017600000",
    "number": "1639342843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 BARRY RD",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016091154",
            "telephone_number": "508-798-3727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 BARRY RD",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016091154",
            "telephone_number": "508-798-3727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLOWS AT WORCESTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-09",
        "last_updated": "2012-01-20",
        "status": "A",
        "authorized_official_last_name": "SACON",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "508-898-3490"
    },
    "taxonomies": [
        {
            "code": "311Z00000X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5503329",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elijah Williamson
• Dorice Willingham, SLP
• Willis Center
• Rebecca Ann Willis
• Alison Glenny Willnow, CRNA
• Wills Center (Henry Lee Willis Center)
• David Andrew Willwerth
• Lauren Wilmot, LMT
• David A Wilner, M.D.
• Alicynn April Wilson, NP

• Custodial Care Facility in Worcester, MA
• Providers in Worcester, MA by specialty
• Custodial Care Facility in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2012; 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.