Organization Active NPI

Willowwood Pac LLC

  • Skilled Nursing Facility
  • Flowery Branch, GA
National Provider Identifier
1871130229
Registry record updated Dec 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
WILLOWWOOD PAC LLC
Doing business as
Willowwood Healthcare and Rehabilitation
Practice address
4595 Cantrell Rd
Flowery Branch, GA 30542-3304
Phone
(770) 967-2070
NPI assigned
Dec 4, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2019

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

Authorized official

Name
Ari Silberstein
Title
Member
Phone
(631) 592-6400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

4595 Cantrell Rd
Flowery Branch, GA 30542-3304

Mailing address

4595 Cantrell Rd
Flowery Branch, GA 30542-3304
Phone (770) 967-2070

Other names 1

  • Willowwood Healthcare and Rehabilitation Doing business as

National Provider Directory

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.

NPI Registry JSON

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

{
    "created_epoch": "1575417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1575417600000",
    "number": "1871130229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4595 CANTRELL RD",
            "city": "FLOWERY BRANCH",
            "state": "GA",
            "postal_code": "305423304",
            "telephone_number": "770-967-2070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4595 CANTRELL RD",
            "city": "FLOWERY BRANCH",
            "state": "GA",
            "postal_code": "305423304",
            "telephone_number": "770-967-2070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLOWWOOD PAC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-04",
        "last_updated": "2019-12-04",
        "status": "A",
        "authorized_official_last_name": "SILBERSTEIN",
        "authorized_official_first_name": "ARI",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "631-592-6400"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Willowwood Healthcare and Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Flowery Branch, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2019; 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.