Willowcreek Assisted Living Home

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

WILLOWCREEK ASSISTED LIVING HOME

Practice address

873 Norman St
Anchorage, AK 99504-1615

Phone

(907) 230-7558

NPI assigned

Apr 1, 2025

Last updated

Apr 1, 2025By 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

Andrea KittlesonNPI 1902532765

Title

Owner/Administrator

Phone

(907) 230-7558

Specialties & licenses 1

Addresses

Other names 1

• Sole Proprietorship Other name

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.

• Andrea Marie Kittleson

  • Mental Health Counselor
  • Anchorage, AK
  • NPI 1902532765
  NPD Authorized official

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

{
    "created_epoch": "1743465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743465600000",
    "number": "1891599890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "873 NORMAN ST",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995041615",
            "telephone_number": "907-230-7558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "873 NORMAN ST",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995041615",
            "telephone_number": "907-230-7558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLOWCREEK ASSISTED LIVING HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-01",
        "last_updated": "2025-04-01",
        "certification_date": "2025-04-01",
        "status": "A",
        "authorized_official_last_name": "KITTLESON",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "907-230-7558"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sole Proprietorship",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Justeena MM Willmorth
• Willow Wellness LLC
• Willow, LLC (Willow Medical and Wellness)
• Willowcreek Adult Day Center Incorporated Dba Willowcreek Ak Transport
• Willowcreek Ak Transport Incorporated
• Savannah Wilmarth, LMT
• Zaharah Wilshusen
• Tenaya Catherine Wilson-Charles, MD
• Grace Kathryn Wilson-Laudun, BSW
• Gina B Wilson-Ramirez, MD

• In Home Supportive Care Agency in Anchorage, AK
• Providers in Anchorage, AK by specialty
• In Home Supportive Care Agency in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2025; 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.