NPIMap

Organization Active NPI

Willow Place II, Inc

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Asheville, NC
National Provider Identifier
1689115362
Registry record updated Mar 15, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
License
MHL-001-366 Issued in NC
Legal business name
WILLOW PLACE II, INC
Practice address
30 Garfield St
Suite a
Asheville, NC 28803-7302
Phone
(828) 254-3484
NPI assigned
Mar 15, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2017

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

Authorized official

Name
Nicola Rajaram
Title
Implementation
Phone
(954) 272-6612

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X MHL-001-366 NC Primary

Addresses

Primary practice location

30 Garfield St
Suite a
Asheville, NC 28803-7302

Mailing address

30 Garfield St
Suite a
Asheville, NC 28803-7302

Other names 1

  • Willow Place Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Willow Place2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1489536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489536000000",
    "number": "1689115362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 GARFIELD ST",
            "address_2": "SUITE A",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288037302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 GARFIELD ST",
            "address_2": "SUITE A",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288037302",
            "telephone_number": "828-254-3484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLOW PLACE II, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-15",
        "last_updated": "2017-03-15",
        "status": "A",
        "authorized_official_last_name": "RAJARAM",
        "authorized_official_first_name": "NICOLA",
        "authorized_official_title_or_position": "IMPLEMENTATION",
        "authorized_official_telephone_number": "954-272-6612"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "NC",
            "license": "MHL-001-366",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Willow Place",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Asheville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2017; 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.