Willow Garden of Hannibal, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

WILLOW GARDEN OF HANNIBAL, LLC

Practice address

2500 Pleasant St
Hannibal, MO 63401-2600

Phone

(573) 221-6000

Fax

(573) 221-6172

NPI assigned

Aug 13, 2026

Last updated

Aug 13, 2026By 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

Avrohom Ribiat

Title

Manager

Phone

(847) 555-0101

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1786579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786579200000",
    "number": "1912822214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 AVE OF THE STATES STE 309",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087015181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 PLEASANT ST",
            "city": "HANNIBAL",
            "state": "MO",
            "postal_code": "634012600",
            "telephone_number": "573-221-6000",
            "fax_number": "573-221-6172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLOW GARDEN OF HANNIBAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-13",
        "last_updated": "2026-08-13",
        "certification_date": "2026-08-13",
        "status": "A",
        "authorized_official_last_name": "RIBIAT",
        "authorized_official_first_name": "AVROHOM",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "847-555-0101"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tria Wilhite, M.D.
• William J. Esicar, D.M.D., P.C.
• Williams Mark Twain Group Home
• Williams Residential 1
• Alyssa Williams, DENTAL HYGIENIST
• Ashley Marting Wilson
• Megan E Wilson, PLPC
• Taylor Wilson
• Walter Tyler Winders, M.D.
• Kent Randall Wolber, O.D.

• Skilled Nursing Facility in Hannibal, MO
• Providers in Hannibal, MO by specialty
• Skilled Nursing Facility in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2026; 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.