Ets Willowbrook at Marion
NPI 1114420502ActiveOrganization· Assisted Living Facility· Lake City, FL
Assisted Living Facility in Lake City, Florida, registered in NPPES in March 2018. The authorized official on file is Jon Skylar Burgess, Secretary/Treasurer.
Overview
| NPI | 1114420502 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 13, 2018 |
| Last updated in NPPES | Mar 13, 2018 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Assisted Living Facility Primary | 310400000X | 9909 | FL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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