WILLOW HEALTH CARE INC (NPI# 1306847108) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306847108 |
| Entity Type | Organization |
| Organization Name | WILLOW HEALTH CARE INC |
| Other Organization Name | BROOKE HAVEN HEALTH CARE |
| Practice Address |
1410 N Kentucky Ave West Plains MO 65775-1822 |
| Mailing Address |
Po Box 309 Willow Springs MO 65793 |
| Practice Telephone | 4172567975 |
| Practice Fax Number | 4174693443 |
| Mailing Telephone | 4174693152 |
| Mailing Fax Number | 4174693443 |
| Enumeration Date | 2005-08-03 |
| Last Update Date | 2009-12-18 |
| Authorized Official Name | MRS. SHERRY MILLER (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 4174693152 |
| Authorized Official Credential | CPA |
| Is Organization Subpart | Y |
| Parent Organization Name | WILLOW HEALTH CARE INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 314000000X | Skilled Nursing Facility | 031482 | MO | Nursing & Custodial Care Facilities |
| Y | 314000000X | Skilled Nursing Facility | 036773 | MO | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 101763100 | 05 |
| Other Name | Type Code |
|---|---|
| Brooke Haven Health Care | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184276982 | Willow Health Care Inc | Skilled Nursing Facility | 712 Copper Rock Dr, Rogersville, MO 65742-8970 | 2019-07-11 |
| 1790176881 | Willow Health Care Inc | Assisted Living Facility | 1211 N Ash, Mountain View, MO 65548 | 2015-02-10 |
| 1073651204 | Willow Health Care Inc | Assisted Living Facility | 2644 State Route 76, Willow Springs, MO 65793-8254 | 2007-02-01 |
| 1902807555 | Willow Health Care Inc | Home Health | 2706 Hwy 76, Willow Springs, MO 65793-9257 | 2005-08-04 |
| 1184625782 | Willow Health Care Inc | Clinic/Center | 2642 State Route 76, Willow Springs, MO 65793-8254 | 2005-08-03 |
| 1255332086 | Willow Health Care Inc | Skilled Nursing Facility | 1211 N Ash St, Mountain View, MO 65548-7376 | 2005-08-02 |
| 1952302788 | Willow Health Care Inc | Skilled Nursing Facility | 2646 State Route 76, Willow Springs, MO 65793-8254 | 2005-08-02 |
| 1225408420 | Willow Health Care Inc | Skilled Nursing Facility | 1200 W Hall St, Ozark, MO 65721-9103 | 2015-09-30 |
| 1366443913 | Willow Health Care Inc | Home Health | 2642 State Route 76, Willow Springs, MO 65793-0000 | 2005-08-04 |
| Street Address |
1410 N KENTUCKY AVE |
| City | WEST PLAINS |
| State | MO |
| Zip Code | 65775-1822 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598373359 | Ozarks Medical Center | Clinic/Center | Omc/zizzer Clinic, 1013 College Street, West Plains, MO 65775 | 2020-07-17 |
| 1962958678 | Fanny Ray | Massage Therapist | 1105 Independence Drive, West Plains, MO 65775 | 2016-09-01 |
| 1295184166 | Shaunda Faye Wolfe | Case Manager/Care Coordinator | 2301 K Hwy Apt. 2, West Plains, MO 65775 | 2016-06-10 |
| 1740694009 | Mary Loretta Rogganbuck | Counselor | 1211 Porter Wagoner #23, West Plains, MO 65775 | 2014-06-16 |
| 1548673858 | John Tollenaar | Physical Therapist | 1480 8th Streeet, West Plains, MO 65775 | 2014-06-04 |
| 1861818080 | Raymond Eugene Richardson | Case Manager/Care Coordinator | 1015 Lanton Road, West Plains, MO 65775 | 2014-03-12 |
| 1710309083 | Jared M Sadowitz | Physical Therapist | 1100 Kentucly Ave, West Plains, MO 65775 | 2014-01-06 |
| 1346682184 | Mark L. Dake Dds, Msd and David Sander Dmd, Mds | Dentist | 181 N. Kentucky, Suite 300, West Plains, MO 65775 | 2013-07-22 |
| 1427307024 | Anita M. Nelson | Behavioral Analyst | 8388 Pr 2731, West Plains, MO 65775 | 2012-08-29 |
| 1780959684 | Ozarks Medical Center | Pharmacy | 18 Parkway Center, West Plains, MO 65775 | 2012-03-12 |
| Find all providers in zip 65775 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336174960 | Nhc Healthcare-west Plains LLC | Skilled Nursing Facility | 211 Davis Dr, West Plains, MO 65775-2242 | 2006-07-12 |
| 1679547426 | West Vue Inc | Skilled Nursing Facility | 210 Davis Dr, West Plains, MO 65775-2241 | 2006-02-16 |
| 1245634914 | James Scott Wiley | Skilled Nursing Facility | 210 Davis Dr, West Plains, MO 65775-2241 | 2014-10-09 |
| 1326119769 | Ozarks Medical Center | Skilled Nursing Facility | 1100 N Kentucky Ave, West Plains, MO 65775-2029 | 2006-11-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609492719 | Ignite Medical Resort Independence LLC | Skilled Nursing Facility | 20511 E. Trinity Pl., Blue Springs, MO 64015 | 2020-06-24 |
| 1760006308 | Sunterra Dardenne Prairie Oc LLC | Skilled Nursing Facility | 7275 Highway N, Dardenne Prairie, MO 63368-7126 | 2020-05-29 |
| 1184247215 | Berry Medical Properties, LLC | Skilled Nursing Facility | 11380 Natural Bridge Rd, Bridgeton, MO 63044-2307 | 2020-05-23 |
| 1881249464 | Rolla Grand LLC | Skilled Nursing Facility | 1800 White Columns Dr, Rolla, MO 65401-2044 | 2019-08-09 |
| 1184276982 | Willow Health Care Inc | Skilled Nursing Facility | 712 Copper Rock Dr, Rogersville, MO 65742-8970 | 2019-07-11 |
| 1548734627 | Medicore Medical Service LLC | Skilled Nursing Facility | 2303 Kratky Rd Apt B, Saint Louis, MO 63114-1783 | 2019-01-11 |
| 1518436724 | Missouri Nursing & Rehab LLC | Skilled Nursing Facility | 783 Weber Road, Farmington, MO 63640-3318 | 2018-11-16 |
| 1982172342 | Arrowhead Retirement Operations LLC | Skilled Nursing Facility | 6100 Arrowhead Drive, Osage Beach, MO 65065 | 2018-11-05 |
| 1578039467 | Laverna Senior Living LLC | Skilled Nursing Facility | 904 S Hall Ave, Savannah, MO 64485-1952 | 2018-10-17 |
| 1093297152 | Community Care Center of Union Inc | Skilled Nursing Facility | 1080 Marie Lane, Union, MO 63084 | 2018-09-05 |
| Find all providers with the same taxonomy | ||||
| City | WEST PLAINS |
| Zip Code | 65775 |
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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.