Provider Demographics
NPI:1982364071
Name:WILLOWS OF SPRINGHURST OPCO, LLC
Entity type:Organization
Organization Name:WILLOWS OF SPRINGHURST OPCO, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SR. VP & TREASURER
Authorized Official - Prefix:
Authorized Official - First Name:GREG
Authorized Official - Middle Name:
Authorized Official - Last Name:CONNER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:502-412-5847
Mailing Address - Street 1:3001 N HURSTBOURNE PKWY
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40241-2209
Mailing Address - Country:US
Mailing Address - Phone:502-412-3775
Mailing Address - Fax:
Practice Address - Street 1:3101 N HURSTBOURNE PKWY
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40241-2208
Practice Address - Country:US
Practice Address - Phone:502-412-3775
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:TRILOGY OPCO, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-12-30
Last Update Date:2021-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility