WILLIOW PARK
NPI 1952605727
Assisted Living Facility in Tyler, TX
About Williow Park NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
WILLIOW PARK (NPI 1952605727) is a healthcare organization registered as an assisted living facility in Tyler, Texas and active in the NPI registry since January 2011. The organization holds a CLIA Waiver certificate valid through September 30, 2026 and lists John Moore, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
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 45D2194526
Atria Senior Living-Willow Park · Tyler, TXOther Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Atria Senior Living Group, Inc's NPI number?
The NPI number for Atria Senior Living Group, Inc is 1952605727. It was assigned to this organization in the NPPES registry on January 7, 2011. The provider is doing business as Williow Park.
Where is Atria Senior Living Group, Inc located?
Atria Senior Living Group, Inc is located at 3500 S Vine Ave, Tyler, TX 75701. The listed phone number is (903) 561-4302.
What is Atria Senior Living Group, Inc's specialty?
The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.
Does Atria Senior Living Group, Inc hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 45D2194526) is associated with this NPI, valid through September 30, 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 Atria Senior Living Group, Inc was last updated on January 7, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Williow Park · NPI 1952605727
Assisted Living Facility organization in Tyler, Texas. Organization record, active in the CMS NPPES registry since January 7, 2011.
## Identity
- **NPI:** 1952605727 (Entity type: Organization)
- **Enumerated:** January 7, 2011
- **Primary specialty:** Assisted Living Facility · taxonomy 310400000X
- **Legal business name:** Atria Senior Living Group, Inc
- **Organization subpart:** Yes (part of Atria Senior Living Group, Inc)
- **Authorized official:** John Moore, CEO
## Practice location
- **Address:** 3500 S VINE AVE, Tyler, TX 75701-8541
- **Phone:** (903) 561-4302
## Record status
- **NPPES last updated:** January 7, 2011
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1952605727) · Data from the CMS NPPES public registry.