OrganizationActive
Willow Terrace
NPI 1235138587 · Skilled Nursing Facility · Phila, PA
Willow Terrace is a Skilled Nursing Facility organization in Phila, PA (NPI 1235138587).
Provider details
- NPI number
- 1235138587
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Samuel Russo, Corp. Director of Finance(215) 456-6611
- License
- 072102 (PA)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
21 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
1 Penn Blvd
Phila, PA 19144-1476
Phone: (215) 456-6611
Fax: (215) 457-4304
Street-level locationGet directions
Mailing address
1 Penn Blvd
Phila, PA 19144-1476
Registry dates
- Enumerated
- 2005-07-19
- Last updated
- 2020-08-22
Frequently asked questions
- What is Willow Terrace's NPI number?
- Willow Terrace's National Provider Identifier (NPI) is 1235138587, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Willow Terrace?
- Willow Terrace is classified in the NPPES registry as Skilled Nursing Facility (Nursing & Custodial Care Facilities).
- Where is Willow Terrace located?
- Willow Terrace's practice location on file with NPPES is 1 Penn Blvd, Phila, PA 19144-1476.
- What is Willow Terrace's phone number?
- The practice phone number listed in the NPPES registry for Willow Terrace is (215) 456-6611.
- Who is the authorized official for Willow Terrace?
- The authorized official listed on Willow Terrace's NPPES record is Samuel Russo, Corp. Director of Finance. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Willow Terrace's NPI active?
- Yes — Willow Terrace's NPI (1235138587) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.