WILLOW TREE MANOR - UHA (NPI# 1033348883) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033348883 |
| Entity Type | Organization |
| Organization Name | WILLOW TREE MANOR - UHA |
| Practice Address |
1263 S George St Charles Town WV 25414-4384 |
| Mailing Address |
Po Box 780 Morgantown WV 26507-0780 |
| Practice Telephone | 3047256575 |
| Mailing Telephone | 3042937401 |
| Mailing Fax Number | 3042936963 |
| Enumeration Date | 2009-07-14 |
| Last Update Date | 2009-07-14 |
| Authorized Official Name | ROBYN M MCDANIEL (PROVIDER RELATIONS SUPERVISOR) |
| Authorized Official Telephone | 3042935033 |
| Is Organization Subpart | Y |
| Parent Organization Name | WEST VIRGINIA UNIVERSITY MEDICAL CORPORATION |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | 0011526000 | 05 |
| Street Address |
1263 S GEORGE ST |
| City | CHARLES TOWN |
| State | WV |
| Zip Code | 25414-4384 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528091055 | Hqm of Charlestown, LLC | Skilled Nursing Facility | 1263 S George St, Charles Town, WV 25414-4384 | 2006-07-08 |
| 1346449451 | Blue Ridge Nursing, LLC | Nursing Facility/Intermediate Care Facility | 1263 S George St, Charles Town, WV 25414-4384 | 2007-07-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720687478 | E & A Pediatric Home Health Services | Home Health | 207 W. Washington Street, Charles Town, WV 25414 | 2020-10-23 |
| 1013435668 | Ashley Wertman | Physical Therapist | 46 Trifecta Place Ste 104, Charlestown, WV 25414 | 2017-09-05 |
| 1053763532 | Lisa Craft | Social Worker | 138 Wall Street, Charles Town, WV 25414 | 2016-07-07 |
| 1053782227 | Charles William Fellers Jr. | Physical Therapy Assistant | 50 Mulberry St, Charles Town, WV 25414 | 2015-10-14 |
| 1881015055 | Sara Fragale | Student in an Organized Health Care Education/Training Program | 100 Mordington Avenue, Charles Town, WV 25414 | 2013-12-13 |
| 1548519879 | Priyankar Sharma | Family Medicine | University Urgent Care, 912 Somerset Blvd., Suitre 102, Charles Town, WV 25414 | 2012-08-31 |
| 1528316957 | Citizens Fire Company | Ambulance | 245 Citizens Way, Charles Town, WV 25414 | 2012-08-15 |
| 1609101682 | Wendy K Joseph | Speech-Language Pathologist | 109 South College Street, Resa Viii, Martinsburg, WV 25414 | 2009-10-09 |
| 1457595738 | Brittany C Lamb | Speech-Language Pathologist | 50 Mulberry St., Charles Town, WV 25414 | 2009-04-30 |
| 1578703138 | Allison E Miller | Speech-Language Pathologist | 110 Ashby Street, Jefferson County Board of Education, Charles Town, WV 25414 | 2009-02-23 |
| Find all providers in zip 25414 | ||||
| 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 |
|---|---|---|---|---|
| 1528091055 | Hqm of Charlestown, LLC | Skilled Nursing Facility | 1263 S George St, Charles Town, WV 25414-4384 | 2006-07-08 |
| 1942245006 | Markglen, Inc. | Skilled Nursing Facility | 50 Mulberry Tree Street, Charles Town, WV 25414-1170 | 2006-06-20 |
| 1750565941 | 50 Mulberry Tree Street Operations LLC | Skilled Nursing Facility | 50 Mulberry Tree Street, Charles Town, WV 25414-1170 | 2007-12-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437785623 | Ewv Holdings, LLC | Skilled Nursing Facility | 495 Court St, Elizabeth, WV 26143 | 2020-03-19 |
| 1952814428 | Taylor Health Care Center, LLC | Skilled Nursing Facility | 2 Hospital Plaza, Grafton, WV 26354 | 2017-11-07 |
| 1881132389 | Greenbrier Health Care Center, LLC | Skilled Nursing Facility | 1115 Maplewood Ave, Lewisburg, WV 24901-9728 | 2017-02-03 |
| 1578983417 | Cabell Health Care Center, LLC | Skilled Nursing Facility | 240 Capitol St, Suite 500, Charleston, WV 25301-2221 | 2014-04-18 |
| 1023362183 | Genesis | Skilled Nursing Facility | 925 Park Dr, Dunbar, WV 25064-2624 | 2012-10-28 |
| 1033470786 | David Daryl Vaught | Skilled Nursing Facility | Rr 5 Box 108-c, Bridgeport, WV 26330 | 2012-05-30 |
| 1104117761 | Diversicare Rose Terrace, LLC | Skilled Nursing Facility | 30 Hidden Brook Way, Culloden, WV 25510 | 2011-04-29 |
| 1982918470 | Emericare Heritage LLC | Skilled Nursing Facility | Route 4, 17, Bridgeport, WV 26330-9804 | 2010-07-27 |
| 1053542555 | Arbors of Fairmont | Skilled Nursing Facility | 1700 Big Tree Dr Apt 79, Fairmont, WV 26554-8310 | 2009-07-31 |
| 1457535635 | Three Mile Curve Operations LLC | Skilled Nursing Facility | Three Mile Curve, Logan, WV 25600 | 2007-12-24 |
| Find all providers with the same taxonomy | ||||
| City | CHARLES TOWN |
| Zip Code | 25414 |
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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.