WILLOW CREEK SOUTH GROUP HOME
NPI 1942544820
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Adrian, MO

Q: What is Willow Creek Group Home's NPI number?

The NPI number for Willow Creek Group Home is 1942544820. It was assigned to this organization in the NPPES registry on November 16, 2012. The provider is also known as Willow Creek South Group Home.

Q: What is Willow Creek Group Home's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

Active since November 16, 2012

RURAL ROUTE 2, BOX 27, ADRIAN, MO 64720(816) 297-4256(816) 297-8956 Get Directions Write a Review

NPPES record last updated: November 16, 2012. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Willow Creek South Group Home NPPES

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

WILLOW CREEK SOUTH GROUP HOME (NPI 1942544820) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Adrian, Missouri and active in the NPI registry since November 2012. The organization lists Jeanie Sue Stephens, Owner, as its authorized official.

NPPES Registry Identity

NPI1942544820

Entity TypeOrganization

Primary Taxonomy320900000X

Legal Business NameWILLOW CREEK GROUP HOME

Location AddressRURAL ROUTE 2, BOX 27Adrian, MO 64720

Mailing Address1007 Old 71 HighwayAdrian, MO 64720 · (816) 297-2037

Phone(816) 297-4256

Fax(816) 297-8956

Organization SubpartNo

Authorized OfficialJeanie Sue StephensOwner · (816) 297-4256

Enumeration DateNovember 16, 2012

✔ NPI 1942544820 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities

Taxonomy Code320900000X

License✔ Licensed in MO · WC2-0252-0712

Definition

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.

RURAL ROUTE 2, BOX 27, Adrian, MO 64720

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Other Names 1

Other NameWillow Creek South Group Home

Other Identifiers 1

Medicaid320900000XMO

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 Creek Group Home's NPI number?

The NPI number for Willow Creek Group Home is 1942544820. It was assigned to this organization in the NPPES registry on November 16, 2012. The provider is also known as Willow Creek South Group Home.

Where is Willow Creek Group Home located?

Willow Creek Group Home is located at Rural Route 2, Box 27, Adrian, MO 64720. The listed phone number is (816) 297-4256.

What is Willow Creek Group Home's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

When was this NPI record last updated?

The NPPES record for Willow Creek Group Home was last updated on November 16, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.