Willowcreek Adult Day Center Incorporated Dba Willowcreek Ak Transport

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

Legal business name

WILLOWCREEK ADULT DAY CENTER INCORPORATED DBA WILLOWCREEK AK TRANSPORT

Practice address

1420 E Tudor Rd
Anchorage, AK 99507-1034

Phone

(907) 351-0569

NPI assigned

Jul 17, 2023

Last updated

Sep 14, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Candis Bishop

Title

Managing Member

Phone

(907) 351-0569

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1689552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694649600000",
    "number": "1881373801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19216 CITATION RD",
            "city": "EAGLE RIVER",
            "state": "AK",
            "postal_code": "995778416",
            "telephone_number": "907-351-0569",
            "fax_number": "888-291-5028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 E TUDOR RD",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995071034",
            "telephone_number": "907-351-0569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLOWCREEK ADULT DAY CENTER INCORPORATED DBA WILLOWCREEK AK TRANSPORT",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-17",
        "last_updated": "2023-09-14",
        "certification_date": "2023-09-14",
        "status": "A",
        "authorized_official_last_name": "BISHOP",
        "authorized_official_first_name": "CANDIS",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "907-351-0569",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Casey Willman, DO
• Gwendolyn L Willmon, DC
• Justeena MM Willmorth
• Willow Wellness LLC
• Willow, LLC (Willow Medical and Wellness)
• Willowcreek Ak Transport Incorporated
• Willowcreek Assisted Living Home
• Savannah Wilmarth, LMT
• Zaharah Wilshusen
• Tenaya Catherine Wilson-Charles, MD

• Adult Day Care Clinic/Center in Anchorage, AK
• Providers in Anchorage, AK by specialty
• Adult Day Care Clinic/Center in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2023; 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.