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WILLOWBROOK LLC NPI 1316015605


NPI Information

NPI: 1316015605
Provider Name: WILLOWBROOK LLC

Doing Business As: WILLOWBROOK ASSISTED LIVING

Classification: Assisted Living Facility - 310400000X
Entity Type: Organization
Address:
1871 JULIE LN
TWIN FALLS, ID
ZIP 83301
Phone: (208) 736-3727
Get Directions

WILLOWBROOK LLC is an assisted living facility in Twin Falls, ID. The provider is 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. WILLOWBROOK LLC NPI is 1316015605. The provider is registered as an organization entity type.
The provider Is Doing Business As Willowbrook Assisted Living.

The provider's business location address is:

1871 JULIE LN
TWIN FALLS, ID
ZIP 83301-525
Phone: (208) 736-3727
Fax: (208) 732-6047

The provider's authorized official is Kevin Paul Haight .
The authorized official title is Administrator, Owner and has the following contact phone number (208) 736-3727.

The enumeration date for this NPI number is 12/3/2006 and was last updated on 9/23/2009.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1310400000XAssisted Living FacilityRC-845IDAHOYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
18074013MEDICAIDIDAHO

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: 4/28/2024

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