WILLOWS WAY, INC (NPI# 1225364987) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225364987 |
| Entity Type | Organization |
| Organization Name | WILLOWS WAY, INC |
| Practice Address |
800 Friedens Rd Ste 100 Saint Charles MO 63303-4234 |
| Practice Telephone | 6369476591 |
| Practice Fax Number | 6369478532 |
| Mailing Telephone | 6369476591 |
| Mailing Fax Number | 6369478532 |
| Enumeration Date | 2009-10-30 |
| Last Update Date | 2009-10-30 |
| Authorized Official Name | MR. STEVEN BRENNELL (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 6369476591 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 852962604 | 05 | |
| MO | 268886504 | 05 | |
| MO | 288886500 | 05 |
| Street Address |
800 FRIEDENS RD STE 100 |
| City | SAINT CHARLES |
| State | MO |
| Zip Code | 63303-4234 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083214787 | Michael Frederick | Pharmacist | 2855 Veterans Memorial Parkway, (pharmacy), Saint Charles, MO 63303 | 2020-10-30 |
| 1710525639 | Cheryl Ann O'dell | Pharmacist | Schnucks Pharmacy, 60 Harvester Square, St Charles, MO 63303 | 2019-12-11 |
| 1255821302 | Melinda R Winfield | Nurse Practitioner | 1313 Park Ct, Saint Charles, MO 63303 | 2018-05-15 |
| 1467904839 | Heather Lilledahl | Speech-Language Pathologist | 2800 Old Muegge Road, Saint Charles, MO 63303 | 2016-11-01 |
| 1437608312 | Preferred Family Healthcare | Counselor | 1559 Old S. River Road, St.charles, MO 63303 | 2016-10-03 |
| 1487109146 | Annette Patricia Davenport | Nurse Practitioner | 1551 Wall Street, Logistics Health Inc, Suite 100, Saint Charles, MO 63303 | 2016-08-23 |
| 1053762328 | Sarah Biondo | Speech-Language Pathologist | 7204 Fountainview Circle, Ofallon, MO 63303 | 2016-06-28 |
| 1710331335 | Lindsey Ann Eilers | Counselor | 1570 South Main, Saint Charles, MO 63303 | 2016-04-20 |
| 1174914600 | Jacquelyn Michele Miller | Pharmacy Technician | 3881 Mexico Road, Saint Charles, MO 63303 | 2015-02-05 |
| 1164838132 | Francelle Denise Neal | Counselor | 2480 Executive Dr Ste 111, Saint Charles, MO 63303 | 2014-07-10 |
| Find all providers in zip 63303 | ||||
| Taxonomy Code | 320900000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities |
| A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275028094 | Smartcare Consultants, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3565 Franks Dr, Saint Charles, MO 63301-4041 | 2018-06-25 |
| 1548604598 | Douglas L Meyer | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 0 Paul Ave, Saint Charles, MO 63301-4808 | 2013-04-22 |
| 1639401649 | Bethesda Lutheran Communities Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2850 Radnor St, Saint Charles, MO 63301-0348 | 2010-02-02 |
| 1396959425 | Bethesda Lutheran Homes & Services Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2310 Elm St, Saint Charles, MO 63301-1441 | 2007-05-09 |
| 1316078629 | Valley Residential Services, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 300 S Saginaw St, Saint Charles, MI 48655-1454 | 2007-03-08 |
| 1639218316 | Emmaus Homes Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2200 W Randolph St, Saint Charles, MO 63301-0848 | 2007-02-06 |
| 1629373600 | Therapy 4 Kids LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1468 Norwood Dr, Saint Charles, MO 63303-3318 | 2011-01-21 |
| 1396070579 | Emmaus Homes, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2200 Randolph Street, Saint Charles, MO 63301 | 2009-10-06 |
| 1568797744 | Emmaus Homes | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2200 Randolph, Saint Charles, MO 63301 | 2009-10-06 |
| 1033444211 | Emmaus Homes, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2200 Randolph, Saint Charles, MO 63301 | 2009-10-06 |
| Find all providers in SAINT CHARLES | ||||
| City | SAINT CHARLES |
| Zip Code | 63303 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.