Willow Bay Health Inc.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

WILLOW BAY HEALTH INC.

Doing business as

Good Hope Of pinellas

Practice address

7575 65TH Way N
Pinellas Park, FL 33781-3116

Phone

(727) 329-8779

Fax

(727) 329-8638

NPI assigned

Mar 25, 2013

Organization subpart

No

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

Authorized official

Name

Mr. Solomon Mathew

Title

Manager

Phone

(954) 940-8555

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Good Hope Of pinellas Doing business as

Tax ID family

Bethe Health Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Bethe Health Inc.

  • Assisted Living Facility
  • Pinellas Park, FL
  • NPI 1629415237
  NPD tax ID

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

{
    "created_epoch": "1364169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364169600000",
    "number": "1962744276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7575 65TH WAY N",
            "city": "PINELLAS PARK",
            "state": "FL",
            "postal_code": "337813116",
            "telephone_number": "727-329-8779",
            "fax_number": "727-329-8638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7575 65TH WAY N",
            "city": "PINELLAS PARK",
            "state": "FL",
            "postal_code": "337813116",
            "telephone_number": "727-329-8779",
            "fax_number": "727-329-8638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLOW BAY HEALTH INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-25",
        "last_updated": "2013-03-25",
        "status": "A",
        "authorized_official_last_name": "MATHEW",
        "authorized_official_first_name": "SOLOMON",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "954-940-8555",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001564900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Good Hope Of pinellas",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Molly Dara Wiles, OD
• Jassman Williams
• Kayla Marie Williams, BA
• Raymond Weldon Williams
• Sheena Denise Williams, NP-C
• Kassidy Wilmarth
• James Loren Winter, CRNA
• Dana Friedl Witkowski, DMD
• Erbe Sigvald Wold IV, PT, DPT
• Elizabeth Wolfson, LCSW

• Assisted Living Facility in Pinellas Park, FL
• Providers in Pinellas Park, FL by specialty
• Assisted Living Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2013; 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.