WILLOW CREEK GROUP HOME – NPI #1942544820
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
WILLOW CREEK GROUP HOME is a community based residential treatment facility located in ADRIAN, MO. NPPES has assigned the NPI number 1942544820 to WILLOW CREEK GROUP HOME on November 16, 2012. It is a Type-2 NPI, indicating this NPI number is associated with an organization. WILLOW CREEK GROUP HOME is also known by the name WILLOW CREEK SOUTH GROUP HOME. The primary taxonomy selected by this provider is 320900000X from the Health Care Provider Taxonomy code set, which is classified as Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities.
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 GROUP HOME
(more than 13 years ago)
ADRIAN, MO 64720 Phone: (816) 297-4256 Fax: (816) 297-8956
ADRIAN, MO 64720 Phone: (816) 297-2037 Fax:
OWNER
Phone: (816) 297-4256
Identifiers for WILLOW CREEK GROUP HOME
Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.
| Description | Issuer | State | Identifier |
|---|---|---|---|
| MEDICAID | MO | 320900000X |
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 |
|---|---|---|
| 320900000X - Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Primary) |
MO | WC2-0252-0712 |
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.