OrganizationActive
Willow Bluff LLC
NPI 1336124643 · Skilled Nursing Facility · Kilgore, TX
Willow Bluff LLC is a Skilled Nursing Facility organization in Kilgore, TX (NPI 1336124643).
Provider details
- NPI number
- 1336124643
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Sondra Scalco, Administrator(903) 983-7775
- License
- 114059 (TX)
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
1901 Whipporwill Ln
Kilgore, TX 75662-3880
Phone: (903) 983-7775
Street-level locationGet directions
Mailing address
1901 Whipporwill Ln
Kilgore, TX 75662-3880
Other names (DBA / former)
- Doing business as
- The Willows of Kilgore
Registry dates
- Enumerated
- 2005-12-08
- Last updated
- 2020-08-22
Frequently asked questions
- What is Willow Bluff LLC's NPI number?
- Willow Bluff LLC's National Provider Identifier (NPI) is 1336124643, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Willow Bluff LLC?
- Willow Bluff LLC is classified in the NPPES registry as Skilled Nursing Facility (Nursing & Custodial Care Facilities).
- Where is Willow Bluff LLC located?
- Willow Bluff LLC's practice location on file with NPPES is 1901 Whipporwill Ln, Kilgore, TX 75662-3880.
- What is Willow Bluff LLC's phone number?
- The practice phone number listed in the NPPES registry for Willow Bluff LLC is (903) 983-7775.
- Who is the authorized official for Willow Bluff LLC?
- The authorized official listed on Willow Bluff LLC's NPPES record is Sondra Scalco, Administrator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Willow Bluff LLC's NPI active?
- Yes — Willow Bluff LLC's NPI (1336124643) 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.