WILLOWS WAY INC NPI 1225364987

NPI Information

  • NPI: 1225364987
  • Provider Name: WILLOWS WAY, INC
  • Classification: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320900000X
  • Entity Type: Organization
  • Address: 800 FRIEDENS RD STE 100
    SAINT CHARLES, MO
    ZIP 63303
  • Phone: (636) 947-6591

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NPI Details

WILLOWS WAY, INC is a community based residential treatment facility, intellectual and/or developmental disabilities in Saint Charles, MO. The provider is a home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. WILLOWS WAY, INC NPI is 1225364987. The provider is registered as an organization entity type.

The provider's business location address is:

800 FRIEDENS RD STE 100
SAINT CHARLES, MO
ZIP 63303-234
Phone: (636) 947-6591
Fax: (636) 947-8532

The provider's authorized official is Steven Brennell .
The authorized official title is Executive Director and has the following contact phone number (636) 947-6591.

The enumeration date for this NPI number is 10/30/2009 and was last updated on 10/30/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1320900000XCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1268886504MEDICAIDMISSOURI
2288886500MEDICAIDMISSOURI
3852962604MEDICAIDMISSOURI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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