THE WILLOWS OF KILGORE
NPI 1336124643
Skilled Nursing Facility in Kilgore, TX

Active since December 08, 2005CLIA 45D1035720 · Waiver
1901 WHIPPORWILL LN, KILGORE, TX 75662(903) 983-7775 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About The Willows Of Kilgore NPPES

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

THE WILLOWS OF KILGORE (NPI 1336124643) is a healthcare organization registered as a skilled nursing facility in Kilgore, Texas and active in the NPI registry since December 2005. The organization holds a CLIA Waiver certificate valid through January 9, 2027 and lists Sondra Scalco, Administrator, as its authorized official.

NPPES Registry Identity

NPI1336124643
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameWILLOW BLUFF LLC
Location Address1901 WHIPPORWILL LNKilgore, TX 75662-3880
Mailing Address1901 Whipporwill LnKilgore, TX 75662-3880 · (903) 983-7775
Organization SubpartNo
Authorized OfficialSondra ScalcoAdministrator · (903) 983-7775
Enumeration DateDecember 8, 2005
Last NPPES UpdateAugust 22, 2020
NPI 1336124643 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
License Licensed in TX · 114059
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.
1901 WHIPPORWILL LN, Kilgore, TX 75662

Other Names 1

Doing Business AsThe Willows Of Kilgore

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 45D1035720

Willow Snf LLC Dba Willow Rehab & Nursing · Kilgore, TX
Active · expires Jan 9, 2027
CLIA Number45D1035720
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateJanuary 10, 2025
Certificate Expiration DateJanuary 9, 2027
Laboratory DirectorSandra Russell
Laboratory Phone(903) 983-7775
Laboratory LocationWillow Snf LLC Dba Willow Rehab & Nursing1901 Whippoorwill Lane, Kilgore, TX 75662
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 10

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

Occupational Therapist
1901 WHIPPORWILL LN
KILGORE, TX 75662
Occupational Therapy Assistant
1901 WHIPPORWILL LN
KILGORE, TX 75662
Physical Therapy Assistant
1901 WHIPPORWILL LN
KILGORE, TX 75662
Speech-Language Pathologist
1901 WHIPPORWILL LN
KILGORE, TX 75662
Skilled Nursing Facility
1901 WHIPPORWILL LN
KILGORE, TX 75662
Physical Therapy Assistant
1901 WHIPPORWILL LN
KILGORE, TX 75662
Occupational Therapist
1901 WHIPPORWILL LN
KILGORE, TX 75662
Skilled Nursing Facility
1901 WHIPPORWILL LN
KILGORE, TX 75662

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 Bluff LLC's NPI number?

The NPI number for Willow Bluff LLC is 1336124643. It was assigned to this organization in the NPPES registry on December 8, 2005. The provider is doing business as The Willows Of Kilgore.

Where is Willow Bluff LLC located?

Willow Bluff LLC is located at 1901 Whipporwill Ln, Kilgore, TX 75662. The listed phone number is (903) 983-7775.

What is Willow Bluff LLC's specialty?

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

Does Willow Bluff LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D1035720) is associated with this NPI, valid through January 9, 2027. 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 Bluff LLC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.