Willcare

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

457210-1 Issued in NY

Legal business name

WILLCARE

Practice address

803 Grant Anenue
Lake Katrine, NY 12449

Phone

(845) 331-5064

NPI assigned

Aug 31, 2016

Organization subpart

No

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

Authorized official

Name

Mrs. Donna V Ranieri, RN

Title

RN

Phone

(518) 755-2812

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1472601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472601600000",
    "number": "1780130591",
    "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",
            "telephone_number": "845-331-5064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "803 GRANT ANENUE",
            "city": "LAKE KATRINE",
            "state": "NY",
            "postal_code": "12449",
            "telephone_number": "845-331-5064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-31",
        "last_updated": "2016-08-31",
        "status": "A",
        "authorized_official_last_name": "RANIERI",
        "authorized_official_first_name": "DONNA",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "RN",
        "authorized_official_telephone_number": "518-755-2812",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "NY",
            "license": "457210-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeri Whitaker, RN
• Morgan Theresa Wiley
• Willcare
• Willcare
• Willcare
• Rebecca Jolene Williams, LPN
• Meea Yim, DO

• Adult Care Home Facility in Lake Katrine, NY
• Providers in Lake Katrine, NY by specialty
• Adult Care Home Facility in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 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.