WILLOW (NPI# 1841823473) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841823473 |
| Entity Type | Organization |
| Organization Name | WILLOW |
| Practice Address |
2125 Highway 36 Wathena KS 66090-4126 |
| Practice Telephone | 8162449233 |
| Practice Fax Number | 7859904664 |
| Mailing Telephone | 8162449233 |
| Mailing Fax Number | 7859904664 |
| Enumeration Date | 2020-02-21 |
| Last Update Date | 2020-02-21 |
| Authorized Official Name | AMY MARIE HARTMAN (OPERATOR) |
| Authorized Official Telephone | 8162449233 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | Nursing & Custodial Care Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | WILLOW | 749 S. Monroe St. Monroe, Monroe, MI 48161 |
| Oregon Corporations, Companies and Business Names | WILLOW & BARK | 644 Sherman Dr, The Dalles, OR 97058 |
| New York State Corporations | WILLOW & BIRCH WELLNESS, LLC | 5 Barnswallow Drive, Pittsford, Ny 14534 |
| Washington State Corporations | WILLOW & BRANCH SALON STUDIOS, LLC | 9222 East Valleyway Avenue, Spokane, WA 99206 |
| New York State Corporations | WILLOW & FAMILY CO., LLC | 180 West Main Street, Westfield, New York 14787 |
| New York State Corporations | WILLOW & HONEY THE SALON LLC | 8 Dorset Pl, Queenbury, Ny 12804 |
| New York State Corporations | WILLOW & HUDSON, INC. | 2 Mountain Crest Ct, Cornwall On Hudson, Ny 12520 |
| Oregon Corporations, Companies and Business Names | WILLOW & IVY BREWING COMPANY LLC | 424 Cedar St, Fairview, OR 97024 |
| Washington State Corporations | WILLOW & IVY EVENTS, LLC | 303 E Pike St Apt 202, Apt 612, Seattle, WA 98122-3699 |
| Washington State Corporations | WILLOW & JIM'S COUNTRY CAFE, INC. | 1421 Pioneer Highway, Silvana, WA 98287 |
| Street Address |
2125 HIGHWAY 36 |
| City | WATHENA |
| State | KS |
| Zip Code | 66090-4126 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306234505 | Jennifer Olson | Occupational Therapist | 2112 Hihgway 36, Wathena, KS 66090 | 2014-12-23 |
| 1265659072 | Mary Ann Woodruff | Technician | 405 Fremont, Wathena, KS 66090 | 2007-04-20 |
| 1043313331 | William P. Feuerbacher | Chiropractor | 210 St. Joseph Street, Wathena, KS 66090 | 2006-09-05 |
| 1144255092 | Wathena Healthcare and Rehabilitation Center, LLC | Skilled Nursing Facility | 2112 Highway 36, Wathena, KS 66090 | 2006-07-11 |
| 1871990622 | Jordan Lee Bauman | Chiropractor | 210 E Saint Joseph St, Wathena, KS 66090-1268 | 2014-11-21 |
| 1780221812 | Bauman Chiropractic LLC | Chiropractor | 210 E Saint Joseph St, Wathena, KS 66090-1268 | 2019-12-09 |
| 1427002534 | Back To Health Chiropractic, P.a. | Chiropractor | 324 Saint Joseph St, Wathena, KS 66090-1280 | 2006-05-22 |
| 1255535266 | Heather A Cluck | Chiropractor | 324 Saint Joseph St, Wathena, KS 66090-1280 | 2007-06-13 |
| 1376931600 | Jennifer Sharp | Physical Therapy Assistant | 1852 210th Rd, Wathena, KS 66090-4065 | 2015-01-09 |
| 1528108370 | Ida Davis | Technician | 1094 Toulon Rd, Wathena, KS 66090-4078 | 2007-02-08 |
| Find all providers in zip 66090 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326646258 | Rl Kansas City 2, LLC | Assisted Living Facility | 7150 Silverheel St, Shawnee, KS 66227-2132 | 2020-10-13 |
| 1306444294 | Rl Kansas City 1, LLC | Assisted Living Facility | 7170 Silverheel St, Shawnee, KS 66227-2132 | 2020-10-13 |
| 1326652405 | Avenue 81 Iaop | Assisted Living Facility | 8055 Metcalf Ave, Overland Park, KS 66204 | 2020-09-04 |
| 1750908091 | Agape Home Plus LLC | Assisted Living Facility | 6322 Peach Tree Ln, Wichita, KS 67218-1820 | 2020-07-02 |
| 1508490822 | American Vision Seasons Msp Overland Park LLC | Assisted Living Facility | 12701 Pflumm Rd, Overland Park, KS 66213-2317 | 2020-02-25 |
| 1922639806 | Homestead of Eudora Operations LLC | Assisted Living Facility | 2725 Church Street, Eudora, KS 66025 | 2020-01-30 |
| 1053966572 | United Methodist Homes, Inc. | Assisted Living Facility | 7200 Sw Uxbridge Cir, Topeka, KS 66614-6095 | 2019-08-02 |
| 1598317588 | The Mapleton Andover LLC | Assisted Living Facility | 1419 W Central Ave, Andover, KS 67002-7202 | 2019-07-10 |
| 1386204881 | Committed Care | Assisted Living Facility | 508 Union St, Oskaloosa, KS 66066 | 2019-06-17 |
| 1770067548 | Mission Chateau LLC | Assisted Living Facility | 4100 W 85th St, Prairie Village, KS 66206-2166 | 2018-09-18 |
| 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.