WILLOW TREE MANOR - UHA
NPI 1033348883
Skilled Nursing Facility in Charles Town, WV

Active since July 14, 2009CLIA 51D0678265 · Waiver
1263 S GEORGE ST, CHARLES TOWN, WV 25414(304) 725-6575 Get Directions Write a Review

NPPES record last updated: July 14, 2009. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Willow Tree Manor - Uha NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WILLOW TREE MANOR - UHA (NPI 1033348883) is a healthcare organization registered as a skilled nursing facility in Charles Town, West Virginia and active in the NPI registry since July 2009. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Robyn M Mcdaniel, Provider Relations Supervisor, as its authorized official.

NPPES Registry Identity

NPI1033348883
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameWILLOW TREE MANOR - UHA
Location Address1263 S GEORGE STCharles Town, WV 25414-4384
Mailing AddressPo Box 780Morgantown, WV 26507-0780 · (304) 293-7401 · Fax (304) 293-6963
Organization SubpartYesParent: West Virginia University Medical Corporation
Authorized OfficialRobyn M McdanielProvider Relations Supervisor · (304) 293-5033
Enumeration DateJuly 14, 2009
NPI 1033348883 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
Definition

(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.

1263 S GEORGE ST, Charles Town, WV 25414

Other Identifiers 2

Medicaid0011526000WV
Medicare PIN9121131WV

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 51D0678265

Willow Tree Manor · Charles Town, WV
Active · expires Aug 31, 2026
CLIA Number51D0678265
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorVasant Datta
Laboratory Phone(304) 725-6575
Laboratory LocationWillow Tree Manor1263 South George Street, Charles Town, WV 25414
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Skilled Nursing Facility
1263 S GEORGE ST
CHARLES TOWN, WV 25414
Nurse Practitioner (Gerontology)
1263 S GEORGE ST
CHARLES TOWN, WV 25414
Physical Therapy Assistant
1263 S GEORGE ST
CHARLES TOWN, WV 25414
Nurse Practitioner (Family)
1263 S GEORGE ST
CHARLES TOWN, WV 25414
Nursing Facility/Intermediate Care Facility
1263 S GEORGE ST
CHARLES TOWN, WV 25414

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Willow Tree Manor - Uha's NPI number?

The NPI number for Willow Tree Manor - Uha is 1033348883. It was assigned to this organization in the NPPES registry on July 14, 2009.

Where is Willow Tree Manor - Uha located?

Willow Tree Manor - Uha is located at 1263 S George St, Charles Town, WV 25414. The listed phone number is (304) 725-6575.

What is Willow Tree Manor - Uha's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

Does Willow Tree Manor - Uha hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 51D0678265) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Willow Tree Manor - Uha was last updated on July 14, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.