Ets Willowbrook at Marion
NPI 1114420502 · Assisted Living Facility · Lake City, FL
Ets Willowbrook at Marion is a Assisted Living Facility organization in Lake City, FL (NPI 1114420502).
Provider details
- NPI number
- 1114420502
- Entity type
- Organization
- Primary specialty
- Assisted Living FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Jon Burgess, Secretary/Treasurer(614) 565-5636
- License
- 9909 (FL)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Willowbrook
Registry dates
- Enumerated
- 2018-03-13
- Last updated
- 2018-03-13
Frequently asked questions
- What is Ets Willowbrook at Marion's NPI number?
- Ets Willowbrook at Marion's National Provider Identifier (NPI) is 1114420502, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Ets Willowbrook at Marion?
- Ets Willowbrook at Marion is classified in the NPPES registry as Assisted Living Facility (Nursing & Custodial Care Facilities).
- Where is Ets Willowbrook at Marion located?
- Ets Willowbrook at Marion's practice location on file with NPPES is 1580 S Marion Ave, Lake City, FL 32025-6913.
- What is Ets Willowbrook at Marion's phone number?
- The practice phone number listed in the NPPES registry for Ets Willowbrook at Marion is (386) 752-4454.
- Who is the authorized official for Ets Willowbrook at Marion?
- The authorized official listed on Ets Willowbrook at Marion's NPPES record is Jon Burgess, Secretary/Treasurer. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Ets Willowbrook at Marion's NPI active?
- Yes — Ets Willowbrook at Marion's NPI (1114420502) is active in the NPPES registry as of the last update on 2018-03-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.