Willow Wind Assisted Living LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

WILLOW WIND ASSISTED LIVING LLC

Practice address

3191 Aster Dr
Prescott, AZ 86305-3892

Phone

(928) 443-9999

Fax

(928) 443-5009

NPI assigned

Sep 13, 2024

Organization subpart

No

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

Authorized official

Name

David Garetz

Title

Cfo

Phone

(323) 987-5954

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1726185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726185600000",
    "number": "1922834084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3191 ASTER DR",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863053892",
            "telephone_number": "928-443-9999",
            "fax_number": "928-443-5009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3191 ASTER DR",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863053892",
            "telephone_number": "928-443-9999",
            "fax_number": "928-443-5009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLOW WIND ASSISTED LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-13",
        "last_updated": "2024-09-13",
        "certification_date": "2024-09-13",
        "status": "A",
        "authorized_official_last_name": "GARETZ",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "323-987-5954"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lena Anne Williams, ND
• Tony Eugene Williams, PT
• Valerie Williams, OTR/L
• Williamson Valley Fire District
• Willow Integration LLC
• Thomas Wills
• Joshua Andrew Wilshusen
• Amanda Marie Wilson, FNP-C
• Emilie Clasgens Wilson, ND
• Hope Elizabeth Wilson, MPH, RDN

• Assisted Living Facility in Prescott, AZ
• Providers in Prescott, AZ by specialty
• Assisted Living Facility in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2024; 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.