OrganizationActive
Willow Terrace
NPI 1235138587 · Skilled Nursing Facility · Phila, PA
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
20 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
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.