Brooke Haven Health Care

LBN: Willow Health Care Inc
Brooke Haven Health Care is an health care organization with primary practice located at 1410 N Kentucky Ave , West Plains MO 65775-1822. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Willow Health Care Inc can be contacted via phone (417) 256-7975, or through Miller, Sherry via phone (417) 469-3152.

Contact Information

Primary practice address
1410 N Kentucky Ave West Plains MO 65775-1822
Phone: (417) 256-7975
Fax: (417) 469-3443
Website:
Map and Directions
Authorized official contact:
Name: Miller, Sherry CPA
Phone: (417) 469-3152

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 031482 Missouri
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 036773 Missouri

Profile Details

NPI number 1306847108
LBN Legal business name Willow Health Care Inc
DBA Doing business as Brooke Haven Health Care
Authorized official Miller, Sherry CPA
Entity Organization
Organization subpart 1 Yes
Enumeration date Aug 3rd, 2005
Last updated Dec 18th, 2009 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1306847108 NPPES
Missouri MEDICAID 101763100

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