WELLNESS WILLOWS HOLISTIC HEALTH RETREAT INC (NPI# 1609100031) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609100031 |
| Entity Type | Organization |
| Organization Name | WELLNESS WILLOWS HOLISTIC HEALTH RETREAT INC |
| Other Organization Name | WELLNESS WILLOWS SLEEPQUIP |
| Practice Address |
16445 Mathis Rd Waller TX 77484-5397 |
| Practice Telephone | 9369313324 |
| Practice Fax Number | 8325537973 |
| Mailing Telephone | 9369313324 |
| Mailing Fax Number | 8325537973 |
| Enumeration Date | 2009-10-02 |
| Last Update Date | 2009-10-02 |
| Authorized Official Name | DR. BRIAN LEE MURRAY-WACHTEDORF I (FACILITY DIRECTOR) |
| Authorized Official Telephone | 9369313324 |
| Authorized Official Credential | PSY.D., LPC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332BX2000X |
Durable Medical Equipment & Medical Supplies Specialization: Oxygen Equipment & Supplies |
TX | Suppliers |
| Other Name | Type Code |
|---|---|
| Wellness Willows SleepQuip | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790861086 | Wellness Willows Holistic Health Retreat Inc | Clinic/Center | 16525 Mathis Rd, Waller, TX 77484-4909 | 2006-10-29 |
| Street Address |
16445 MATHIS RD |
| City | WALLER |
| State | TX |
| Zip Code | 77484-5397 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326687195 | Engedi Pest Control Inc | Contractor | 30292 Fm 1488, Waller, TX 77484 | 2019-12-27 |
| 1639648165 | Samantha Shea Hatfield | Licensed Vocational Nurse | 23260 Robertson Lane, Waller, TX 77484 | 2018-11-14 |
| 1053802496 | Patience Afokailu Akpobome | Nurse Practitioner | Gmw Health 31315 Fm 2920 Rd Suite 3, Waller, TX 77484 | 2018-05-22 |
| 1346696200 | Desirray Johnson | Student in an Organized Health Care Education/Training Program | 43702 Hwy Business 290, Waller, TX 77484 | 2016-05-10 |
| 1154658268 | Kristen Jill Bruggeman | Physical Therapist | 33002 Grove Park Drive, Waller, TX 77484 | 2009-11-10 |
| 1457513707 | Heavenly Delight Loving Care | Exclusive Provider Organization | 2302 Penick Rd., Waller, TX 77484 | 2008-06-27 |
| 1578738704 | Kathleen A Hafner | Technician/Technologist | 31090 Lazy Ridge, Kats Eye Shop, Waller, TX 77484 | 2008-04-29 |
| 1003908088 | Lionel Joseph Fourrier Jr. | Dentist | 2619 Washington Ave, Waller, TX 77484 | 2006-09-28 |
| 1144581927 | Jg Works LLC | In Home Supportive Care | 40688 Hwy 290 Bus, Waller, TX 77484-0845 | 2012-06-07 |
| 1922206044 | Rosemary L Slade | Occupational Therapist | 31254 Strathmore Rd, Waller, TX 77484-3857 | 2007-07-10 |
| Find all providers in zip 77484 | ||||
| Taxonomy Code | 332BX2000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| Specialization | Oxygen Equipment & Supplies |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740897735 | Extraordinary Home Health Care LLC | Durable Medical Equipment & Medical Supplies | 754 Bateswood Dr Apt 4, Houston, TX 77079-5711 | 2020-09-24 |
| 1013527290 | Riptide Medical Supply, LLC | Durable Medical Equipment & Medical Supplies | 2408 Lexington Pl, Brownsville, TX 78520-3914 | 2020-08-03 |
| 1790300457 | United Wellness Dme LLC | Durable Medical Equipment & Medical Supplies | 2611 N Texas Blvd Ste 3, Weslaco, TX 78599-4062 | 2020-06-09 |
| 1831711969 | Brightstar Medical Supply | Durable Medical Equipment & Medical Supplies | 1006 N Sylvania Ave, Fort Worth, TX 76111-2516 | 2020-05-12 |
| 1568099232 | Manuel F Huaman | Durable Medical Equipment & Medical Supplies | 19842 Portlick Ct, Katy, TX 77449-5737 | 2020-03-24 |
| 1265076806 | Stateserv Medical of Texas | Durable Medical Equipment & Medical Supplies | 1207 N. Glenview Drive, Richardson, TX 75081 | 2019-11-06 |
| 1124673942 | Integrity Dme Services LLC | Durable Medical Equipment & Medical Supplies | 6323 Sovereign Dr, Suite # 170 Ab, San Antonio, TX 78229 | 2019-08-08 |
| 1649823550 | Thomas Edward Potter | Durable Medical Equipment & Medical Supplies | 135 Bonner Ave, Corsicana, TX 75110-9252 | 2019-07-19 |
| 1114587912 | Curtis Downey | Durable Medical Equipment & Medical Supplies | 4914 Winnetka St, Houston, TX 77021-2932 | 2019-06-14 |
| 1700443330 | Leticia Garcia | Durable Medical Equipment & Medical Supplies | 12077 Briargrove Ln, Forney, TX 75126-4132 | 2019-05-20 |
| Find all providers with the same taxonomy | ||||
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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.