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WILLOW ROAD FACILITY
NPI 1730366089
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Macon, NC

Active since January 29, 2008
474 MACON EMBRO RD, MACON, NC 27551(252) 257-1814 Get Directions Write a Review

NPPES record last updated: January 29, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Willow Road Facility NPPES

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

WILLOW ROAD FACILITY (NPI 1730366089) is a healthcare organization registered as a residential treatment facility, intellectual and/or developmental disabilities in Macon, North Carolina and active in the NPI registry since January 2008. The organization lists Cornelius Williams, Owner, as its authorized official.

NPPES Registry Identity

NPI1730366089
Entity TypeOrganization
Primary Taxonomy320600000X
Legal Business NameWILLOW ROAD FACILITY
Location Address474 MACON EMBRO RDMacon, NC 27551-9285
Mailing Address474 Macon Embro RdMacon, NC 27551-9285 · (252) 257-1814
Phone(252) 257-1814
Organization SubpartNo
Authorized OfficialCornelius WilliamsOwner · (252) 257-1814
Enumeration DateJanuary 29, 2008
✔ NPI 1730366089 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities
Taxonomy Code320600000X
License✔ Licensed in NC · MHL-093-034
Definition
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
474 MACON EMBRO RD, Macon, NC 27551
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Other Identifiers 2

Medicaid3418365NC
Medicaid7804755NC

Other Providers at the Same Location NPPES

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

GUARDIAN ANGEL HEALTHCARE
Community/Behavioral Health
474 MACON EMBRO RD
MACON, NC 27551
Warren County (252) 257-1380

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 Road Facility's NPI number?

The NPI number for Willow Road Facility is 1730366089. It was assigned to this organization in the NPPES registry on January 29, 2008.

Where is Willow Road Facility located?

Willow Road Facility is located at 474 Macon Embro Rd, Macon, NC 27551. The listed phone number is (252) 257-1814.

What is Willow Road Facility's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320600000X.

When was this NPI record last updated?

The NPPES record for Willow Road Facility was last updated on January 29, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.