Provider Demographics
NPI:1043729015
Name:WILLOWCARE HOME HEALTH CARE, LLC
Entity type:Organization
Organization Name:WILLOWCARE HOME HEALTH CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:ROBIN
Authorized Official - Middle Name:RA'SHELLE
Authorized Official - Last Name:NEWKIRK
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:765-450-7327
Mailing Address - Street 1:4600 COLUMBUS BLVD
Mailing Address - Street 2:
Mailing Address - City:KOKOMO
Mailing Address - State:IN
Mailing Address - Zip Code:46901-6409
Mailing Address - Country:US
Mailing Address - Phone:765-450-7237
Mailing Address - Fax:765-450-7237
Practice Address - Street 1:4600 COLUMBUS BLVD
Practice Address - Street 2:
Practice Address - City:KOKOMO
Practice Address - State:IN
Practice Address - Zip Code:46901-6409
Practice Address - Country:US
Practice Address - Phone:765-450-7237
Practice Address - Fax:765-450-7237
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-09-21
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health