NPIMap

Organization Active NPI

Willcare

  • Home Health Agency
  • Lake Katrine, NY
National Provider Identifier
1689124869
Registry record updated Oct 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
582134-1 Issued in NY
Legal business name
WILLCARE
Practice address
803 Grant Ave
Lake Katrine, NY 12449-5352
Phone
(845) 331-5064
NPI assigned
Oct 11, 2016
Last updated
Oct 11, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2016

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

Authorized official

Name
Amy AgnewNPI 1003125618
Title
Director
Phone
(845) 331-5064

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 582134-1 NY Primary

Addresses

Primary practice location

803 Grant Ave
Lake Katrine, NY 12449-5352

Mailing address

803 Grant Ave
Lake Katrine, NY 12449-5352

National Provider Directory

National Provider Directory
Tax ID family
Litson Certified Care Inc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1476144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476144000000",
    "number": "1689124869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "803 GRANT AVE",
            "city": "LAKE KATRINE",
            "state": "NY",
            "postal_code": "124495352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "803 GRANT AVE",
            "city": "LAKE KATRINE",
            "state": "NY",
            "postal_code": "124495352",
            "telephone_number": "845-331-5064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-11",
        "last_updated": "2016-10-11",
        "status": "A",
        "authorized_official_last_name": "AGNEW",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "845-331-5064"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NY",
            "license": "582134-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Katrine, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2016; 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.