WILLOWOOD OF EDISON, INC
NPI 1215706627
Assisted Living Facility in Edison, GA

Active since December 27, 2023
19818 HARTFORD ST, EDISON, GA 39846(229) 835-2186 Get Directions Write a Review

NPPES record last updated: December 27, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Willowood Of Edison, Inc NPPES

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

WILLOWOOD OF EDISON, INC (NPI 1215706627) is a healthcare organization registered as an assisted living facility in Edison, Georgia and active in the NPI registry since December 2023. The organization lists James N Pettis, President, as its authorized official.

NPPES Registry Identity

NPI1215706627
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameWILLOWOOD OF EDISON, INC
Location Address19818 HARTFORD STEdison, GA 39846-5808
Mailing AddressPo Box 947Perry, GA 31069-0947 · (478) 714-0246
Organization SubpartNo
Authorized OfficialJames N PettisPresident · (478) 714-0246
Enumeration DateDecember 27, 2023
NPPES CertifiedDecember 27, 2023
NPI 1215706627 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
Definition
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.
19818 HARTFORD ST, Edison, GA 39846

Other Names 1

Other NameWillowood Personal Care Home

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 Willowood Of Edison, Inc's NPI number?

The NPI number for Willowood Of Edison, Inc is 1215706627. It was assigned to this organization in the NPPES registry on December 27, 2023. The provider is also known as Willowood Personal Care Home.

Where is Willowood Of Edison, Inc located?

Willowood Of Edison, Inc is located at 19818 Hartford St, Edison, GA 39846. The listed phone number is (229) 835-2186.

What is Willowood Of Edison, Inc's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

When was this NPI record last updated?

The NPPES record for Willowood Of Edison, Inc was last updated on December 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.