Willow Tree Hospice LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

WILLOW TREE HOSPICE LLC

Practice address

616 E Cypress St
Kennett Square, PA 19348-2470

Phone

(610) 444-8733

Fax

(610) 444-5003

NPI assigned

May 25, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Christine Coll, RN BS

Title

Administrator

Phone

(610) 444-8733

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343952000000",
    "number": "1962458802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "616 E CYPRESS ST",
            "city": "KENNETT SQUARE",
            "state": "PA",
            "postal_code": "193482470",
            "telephone_number": "610-444-8733",
            "fax_number": "610-444-5003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "616 E CYPRESS ST",
            "city": "KENNETT SQUARE",
            "state": "PA",
            "postal_code": "193482470",
            "telephone_number": "610-444-8733",
            "fax_number": "610-444-5003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLOW TREE HOSPICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-25",
        "last_updated": "2012-08-03",
        "status": "A",
        "authorized_official_last_name": "COLL",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "610-444-8733",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN BS"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1017591660001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Victoria Lynne Williams, OTR/L
• Willowdale Family Dentistry PLLC
• Willowdale Internal Medicine Associates LLC
• David Warren Wilson, M.ED.
• Sydney Yvonne Wilson
• Joanne Mizii Wisely, SPEECH-LANGUAGE PATH

• Community Based Hospice Care Agency in Kennett Square, PA
• Providers in Kennett Square, PA by specialty
• Community Based Hospice Care Agency in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2012; 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.