Webwood Assisted Living LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

WEBWOOD ASSISTED LIVING LLC

Practice address

1640 Waldo Hatler Memorial Dr
Neosho, MO 64850-8059

Phone

(417) 451-2997

Fax

(417) 456-6345

NPI assigned

Nov 7, 2024

Organization subpart

No

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

Authorized official

Name

Ethan Wilson

Title

Executive Director

Phone

(417) 451-2997

Specialties & licenses 1

Addresses

Other names 1

• Webwood Assisted Living Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1730937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730937600000",
    "number": "1700609658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3590 OLD HIGHWAY 54",
            "city": "LAKE OZARK",
            "state": "MO",
            "postal_code": "650499008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1640 WALDO HATLER MEMORIAL DR",
            "city": "NEOSHO",
            "state": "MO",
            "postal_code": "648508059",
            "telephone_number": "417-451-2997",
            "fax_number": "417-456-6345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEBWOOD ASSISTED LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-07",
        "last_updated": "2024-11-07",
        "certification_date": "2024-10-28",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "ETHAN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "417-451-2997"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Webwood Assisted Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Assisted Living Facility in Neosho, MO
• Providers in Neosho, MO by specialty
• Assisted Living Facility in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.