WILLOW CREEK GROUP HOME – NPI #1538281019
Residential Treatment Facility, Intellectual and/or Developmental Disabilities

A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.

Health Care Provider Taxonomy Code for Residential Treatment Facility, Intellectual and/or Developmental Disabilities

WILLOW CREEK GROUP HOME is a residential treatment facility located in ADRIAN, MO. NPPES has assigned the NPI number 1538281019 to WILLOW CREEK GROUP HOME on April 04, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “WILLOW CREEK GROUP HOME” is a dba name, the actual legal business name for this organization is WILLOW CREEK ISL, LLC. The primary taxonomy selected by this provider is 320600000X from the Health Care Provider Taxonomy code set, which is classified as Residential Treatment Facility, Intellectual and/or Developmental Disabilities.

The NPI profile was previously updated about 5 years ago on Dec 03, 2021. 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 CREEK GROUP HOME below.

NPI Profile for
WILLOW CREEK ISL, LLC

NPI Number
1538281019
Enumeration Date

(more than 19 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
WILLOW CREEK ISL, LLC
Doing Business As (dba): WILLOW CREEK GROUP HOME
Primary location
1008 EDITH AVE.
ADRIAN, MO 64720
Phone: (816) 225-8214 Fax: (816) 297-4032
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
CHRISTIAN DENISON
OWNER
Phone: (816) 225-8214
Updated
Certification Date
Dec 03, 2021

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

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
320600000X
- Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Primary)		 MO 855188900

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.