OrganizationActive
Willow Creek Isl, LLC
NPI 1871897017 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Adrian, MO
Provider details
- NPI number
- 1871897017
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Christian Dennison, Owner(816) 225-8214
- License
- 134112203 (MO)
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000XLicense 134112203 (MO)
Residential Treatment Facilities
Profile Score
Detailed profile(82/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 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
1008 Edith Ave.
Adrian, MO 64720
Phone: (816) 225-8214
Fax: (816) 297-8956
Street-level locationGet directions
Mailing address
1008 Edith Ave.
Adrian, MO 64720
Other names (DBA / former)
- Other name
- Willow Creek Group Home South
- Other name
- Willow Creek Group Home South
Registry dates
- Enumerated
- 2011-01-03
- Last updated
- 2022-01-28
- Certified
- 2022-01-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.