WILLOW TRACE HEALTH AND REHABILITATION CENTER – NPI #1205096500
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.

WILLOW TRACE HEALTH AND REHABILITATION CENTER is a skilled nursing facility (SNF) located in BUTLER, AL. NPPES has assigned the NPI number 1205096500 to WILLOW TRACE HEALTH AND REHABILITATION CENTER on June 11, 2008. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “WILLOW TRACE HEALTH AND REHABILITATION CENTER” is a dba name, the actual legal business name for this organization is AL WILLOW TREE, LLC. The primary taxonomy selected by this provider is 314000000X from the Health Care Provider Taxonomy code set, which is classified as Skilled Nursing Facility.

The NPI profile was previously updated about 11 years ago on Oct 05, 2015. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for WILLOW TRACE HEALTH AND REHABILITATION CENTER below.

NPI Profile for
AL WILLOW TREE, LLC

NPI Number
1205096500
Enumeration Date

(about 18 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
AL WILLOW TREE, LLC
Doing Business As (dba): WILLOW TRACE HEALTH AND REHABILITATION CENTER
Primary location
1406 E PUSHMATAHA ST
BUTLER, AL 36904-2728
Phone: (205) 459-5506 Fax: (205) 459-5503
Mailing address
40 PALAFOX PL
STE 400
PENSACOLA, FL 32502-5699
Phone: (850) 430-0000 Fax:
Organization Subpart
Yes - WILLOW TRACE HEALTH AND REHABILITATION CENTER is subpart of another organization.
Authorized Official
JAMES RICHARDSON
PRESIDENT
Phone: (850) 430-0000
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
314000000X
- Skilled Nursing Facility (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.