Willow Wind

LBN: The Evangelical Lutheran Good Samaritan Society
Willow Wind is an health care organization with primary practice located at 3191 Aster Dr , Prescott AZ 86305-3743. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Assisted Living Facility, which is considered as the primary health care specialty. The Evangelical Lutheran Good Samaritan Society can be contacted via phone (928) 443-9999, or through Nylander, Raye Nae via phone (605) 362-3100.

Contact Information

Primary practice address
3191 Aster Dr Prescott AZ 86305-3743
Phone: (928) 443-9999
Fax: (928) 778-5251
Website:
Map and Directions
Authorized official contact:
Name: Nylander, Raye Nae
Phone: (605) 362-3100

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X

Profile Details

NPI number 1588645600
LBN Legal business name The Evangelical Lutheran Good Samaritan Society
DBA Doing business as Willow Wind
Authorized official Nylander, Raye Nae
Entity Organization
Organization subpart 1 No
Enumeration date Nov 7th, 2005
Last updated Aug 22nd, 2020 - about 4 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 1588645600 NPPES
Arizona MEDICAID 487125

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