WILLOW MANOR
NPI 1972999571
Custodial Care Facility - Adult Care Home in Chocowinity, NC

Q: What is Willow Manor's NPI number?

The NPI number for Willow Manor is 1972999571. It was assigned to this organization in the NPPES registry on April 9, 2015.

Q: What is Willow Manor's specialty?

The primary specialty registered for this NPI is Custodial Care Facility, specializing in Adult Care Home, with taxonomy code 311ZA0620X.

Q: When was this NPI record last updated?

The NPPES record for Willow Manor was last updated on April 9, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.

Active since April 09, 2015

4288 US HIGHWAY 17 S, CHOCOWINITY, NC 27817(252) 946-2604 Get Directions Write a Review

NPPES record last updated: April 9, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Willow Manor NPPES

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

WILLOW MANOR (NPI 1972999571) is a healthcare organization registered as an adult care home in Chocowinity, North Carolina and active in the NPI registry since April 2015. The organization lists Courtney Blount, Owner, as its authorized official.

NPPES Registry Identity

NPI1972999571

Entity TypeOrganization

Primary Taxonomy311ZA0620X

Legal Business NameWILLOW MANOR

Location Address4288 US HIGHWAY 17 SChocowinity, NC 27817-8434

Mailing Address1220 Pamlico StWashington, NC 27889-3821 · (252) 402-5317

Phone(252) 946-2604

Organization SubpartNo

Authorized OfficialCourtney BlountOwner · (252) 402-5317

Enumeration DateApril 9, 2015

✔ NPI 1972999571 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCustodial Care Facility · Adult Care HomeNursing & Custodial Care Facilities

Taxonomy Code311ZA0620X

License✔ Licensed in NC · HAL-007-020

Definition

A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.

4288 US HIGHWAY 17 S, Chocowinity, NC 27817

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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 Manor's NPI number?

The NPI number for Willow Manor is 1972999571. It was assigned to this organization in the NPPES registry on April 9, 2015.

Where is Willow Manor located?

Willow Manor is located at 4288 Us Highway 17 S, Chocowinity, NC 27817. The listed phone number is (252) 946-2604.

What is Willow Manor's specialty?

The primary specialty registered for this NPI is Custodial Care Facility, specializing in Adult Care Home, with taxonomy code 311ZA0620X.

When was this NPI record last updated?

The NPPES record for Willow Manor was last updated on April 9, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.