WILLOW CREEK
NPI 1962528695
Skilled Nursing Facility in Mount Laurel, NJ

Active since March 22, 2007
525 FELLOWSHIP RD, SUITE 360, MOUNT LAUREL, NJ 08054(856) 813-2000(856) 813-2020 Get Directions Write a Review

NPPES record last updated: November 7, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Willow Creek NPPES

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

WILLOW CREEK (NPI 1962528695) is a healthcare organization registered as a skilled nursing facility in Mount Laurel, New Jersey and active in the NPI registry since March 2007. The organization lists Tramell C Clark, Regional Resident Accounting Mgr, as its authorized official.

NPPES Registry Identity

NPI1962528695
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameWILLOW CREEK
Location Address525 FELLOWSHIP RD, SUITE 360Mount Laurel, NJ 08054-3415
Mailing Address525 Fellowship Rd, Suite 360Mount Laurel, NJ 08054-3415 · (856) 813-2000 · Fax (856) 813-2020
Fax(856) 813-2020
Organization SubpartNo
Authorized OfficialTramell C ClarkRegional Resident Accounting Mgr · (856) 813-2000
Enumeration DateMarch 22, 2007
Last NPPES UpdateNovember 7, 2007
NPI 1962528695 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 NJ · 061808
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.
525 FELLOWSHIP RD, Mount Laurel, NJ 08054

Other Identifiers 3

Medicare OSCAR/certification315131ANJ
Medicaid4499301NJ
Medicaid4498607NJ

Other Providers at the Same Location NPPES 4

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

Skilled Nursing Facility
525 FELLOWSHIP RD, SUITE 360
MOUNT LAUREL, NJ 08054
Skilled Nursing Facility
525 FELLOWSHIP RD, SUITE 360
MOUNT LAUREL, NJ 08054
Skilled Nursing Facility
525 FELLOWSHIP RD, SUITE 360
MOUNT LAUREL, NJ 08054
Skilled Nursing Facility
525 FELLOWSHIP RD, SUITE 360
MOUNT LAUREL, NJ 08054

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's NPI number?

The NPI number for Willow Creek is 1962528695. It was assigned to this organization in the NPPES registry on March 22, 2007.

Where is Willow Creek located?

Willow Creek is located at 525 Fellowship Rd Suite 360, Mount Laurel, NJ 08054. The listed phone number is (856) 813-2000.

What is Willow Creek's specialty?

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

When was this NPI record last updated?

The NPPES record for Willow Creek was last updated on November 7, 2007. 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.