Willow Bay Health Inc.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

36830 Issued in FL

Legal business name

WILLOW BAY HEALTH INC.

Practice address

4001 W Hillsboro Blvd
Deerfield Beach, FL 33442-9408

Phone

(954) 426-9700

Fax

(954) 861-2926

NPI assigned

Feb 13, 2013

Organization subpart

No

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

Authorized official

Name

Mr. Solomon Mathew

Title

Administrator

Phone

(954) 940-8555

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1360713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360713600000",
    "number": "1639418411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4001 W HILLSBORO BLVD",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "334429408",
            "telephone_number": "954-426-9700",
            "fax_number": "954-861-2926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4001 W HILLSBORO BLVD",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "334429408",
            "telephone_number": "954-426-9700",
            "fax_number": "954-861-2926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLOW BAY HEALTH INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-13",
        "last_updated": "2013-02-13",
        "status": "A",
        "authorized_official_last_name": "MATHEW",
        "authorized_official_first_name": "SOLOMON",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "954-940-8555",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "36830",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sonya Williams, PTA
• Tamika Williams
• Tiffany Williams
• Veronica Williamson
• Kayla Willis
• Jasmine Wilridge
• Damien Lamont Wilson-Johnson, QMHPS
• Ara Wilson
• Ashley Wilson, OTR/L
• Christina Baily Wilson, MD

• Assisted Living Facility in Deerfield Beach, FL
• Providers in Deerfield Beach, FL by specialty
• Assisted Living Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2013; 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.