WILLOW PARK LLC (NPI# 1578812061) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578812061 |
| Entity Type | Organization |
| Organization Name | WILLOW PARK LLC |
| Other Organization Name | WILLOW PARK CARE CENTER |
| Practice Address |
5811 E Truman Rd Kansas City MO 64126 |
| Practice Telephone | 9133021785 |
| Mailing Telephone | 9133021785 |
| Enumeration Date | 2012-08-30 |
| Last Update Date | 2012-08-30 |
| Authorized Official Name | MISS CHONG H YU (DIRECTOR) |
| Authorized Official Telephone | 9133021785 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 311ZA0620X |
Custodial Care Facility Specialization: Adult Care Home |
1058 | MO | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Willow Park Care Center | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| North Carolina Corporation | Willow Park LLC | 214 N. Tryon St. , Charlotte, NC 28255 |
| Massachusetts Corporation | WILLOW PARK LLC | 35 HICHBORN ST. , BRIGHTON, MA 02135-0000 |
| Street Address |
5811 E TRUMAN RD |
| City | KANSAS CITY |
| State | MO |
| Zip Code | 64126 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770609216 | Maria Lourdes Ilagan Donato | Psychiatry & Neurology | 5811 E Truman Rd, Kansas City, MO 64126-2400 | 2007-03-22 |
| 1912477308 | Malc Group LLC | Clinic/Center | 5811 E Truman Rd, Kansas City, MO 64126-2425 | 2018-11-28 |
| 1972859510 | Forest Park Neurology LLC | Psychologist | 5811 E Truman Rd, Kansas City, MO 64126-2400 | 2012-08-01 |
| 1245547934 | Industrial Medical Center, LLC | Point of Service | 5811 E Truman Rd, Kansas City, MO 64126-2400 | 2010-09-02 |
| 1437391067 | Industrial Medical Centers Inc | Point of Service | 5811 E Truman Rd, Kansas City, MO 64126-2400 | 2009-03-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669921581 | A Ray of Hope LLC | Home Health | 6218 E.15th Terr., Kansas City, MO 64126 | 2016-10-04 |
| 1225279003 | Sheryl L Dysvick | Social Worker | 6604 E 12th St, Kansas City, MO 64126-2208 | 2009-03-09 |
| 1407158728 | Sheffield Place | Case Management | 6604 E 12th St, Kansas City, MO 64126-2208 | 2010-11-18 |
| 1487886941 | Ashley M Smith | Marriage & Family Therapist | 6604 E 12th St, Kansas City, MO 64126-2208 | 2009-08-18 |
| 1720055668 | Coatney Clinic, Inc | General Practice | 6235 E Truman Rd, Kansas City, MO 64126-2631 | 2006-02-28 |
| 1083943153 | James H Webb, D.o., LLC | Family Medicine | 6235 E Truman Rd, Kansas City, MO 64126-2631 | 2009-12-18 |
| 1952594384 | James H. Webb | Family Medicine | 6235 E Truman Rd, Kansas City, MO 64126-2631 | 2007-08-20 |
| 1407192404 | Inter City Fire Protection District | Ambulance | 1702 Blue Ridge Blvd, Blue Summit, MO 64126-3016 | 2012-12-19 |
| 1154546778 | The Carousel Adult Day Care LLC | Clinic/Center | 7219 E 17th St, Kansas City, MO 64126-3202 | 2007-04-17 |
| 1659617322 | Dr.harry R. Davidson, Phd LLC | Psychologist | 7219 E 17th St, Kansas City, MO 64126-3202 | 2012-12-27 |
| Find all providers in zip 64126 | ||||
| Taxonomy Code | 311ZA0620X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Custodial Care Facility |
| Specialization | Adult Care Home |
| A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558766071 | Tpc Adult Day Center | Custodial Care Facility | 9408 Blue Ridge Blvd, Kansas City, MO 64138-3846 | 2014-10-27 |
| 1114270147 | The Natural Clean | Custodial Care Facility | 7212 Jackson Ave, Kansas City, MO 64132-2031 | 2012-10-15 |
| 1255686986 | Essentia Home Cae LLC | Custodial Care Facility | 7701 Nw 74th Ter, Kansas City, MO 64152-2322 | 2012-07-18 |
| 1962797340 | Caring Adult Daycare LLC | Custodial Care Facility | 3742 N 113th St, Kansas City, Kansas City, KS 66109-3498 | 2011-06-14 |
| 1295967891 | Guiding Light Healthcare | Custodial Care Facility | 10640 Holmes Rd, Kansas City, MO 64131-3404 | 2009-08-14 |
| 1215192786 | Sandy M Sims | Custodial Care Facility | 7109 E 107 Terr, Kansas City, MO 64134-2736 | 2008-07-24 |
| 1093978629 | Jacqueline J Buchanan | Custodial Care Facility | 2038 N 41 St, Kansas City, KS 66104-3535 | 2008-07-03 |
| 1952590168 | Johnsonville Home LLC | Custodial Care Facility | 2419 N 22nd St, Kansas City, KS 66104-4612 | 2007-10-24 |
| 1083800809 | Scarlett Louise Cameron | Custodial Care Facility | 11500 Campbell St, Kansas City, MO 64131-3829 | 2007-09-16 |
| 1982759825 | Mountainview Carepoint | Custodial Care Facility | 2038 N 41st St, Kansas City, KS 66104-3535 | 2007-01-23 |
| Find all providers in KANSAS CITY | ||||
| City | KANSAS CITY |
| Zip Code | 64126 |
Please comment or provide details below to improve the information on WILLOW PARK LLC.
| 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.