MEDICARE: WILLOW GLEN CARE CENTER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	320800000X	Mental Illness Community Based Residential Treatment Facility	045002488	CA

General Provider Information

NPI Number	:	1093156317
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WILLOW GLEN CARE CENTER

Provider Business Mailing Address
First Line	:	1547 PLUMAS CT
Second Line	:
City	:	YUBA CITY
State	:	CA
Zip	:	95991-2960
Country	:	US
Telephone Number	:	530-751-9900
Fax Number	:	530-751-9915

Provider Business Practice Location Address
First Line	:	2753 WHITE AVE
Second Line	:
City	:	CHICO
State	:	CA
Zip	:	95973-0496
Country	:	US
Telephone Number	:	530-413-9252
Fax Number	:	530-413-9476

Authorized Official
Title or Position	:	MEDICAL DIRECTOR
Name	:	DR. JOHN RILEY
Credential	:	M.D.
Telephone Number	:	530-751-9902

Provider Enumeration Date	:	07/15/2013
Last Update Date	:	09/30/2020

Similar Medicare Providers

1477484889 — SARA A DARR
Practice Location Address:

2820 LEVI LN
CHICO, CA
95973-7281

Practice Phone: 530-828-0694
Practice Fax:

1730642042 — SANDI ANNE CORONADO
Practice Location Address:

3217 COHASSET RD
CHICO, CA
95973-5404

Practice Phone: 530-891-2810
Practice Fax:

1962643858 — JENNIFER J LAMOREAUX WHNP
Practice Location Address:

100 INDEPENDENCE CIR
CHICO, CA
95973-0258

Practice Phone: 530-891-7889
Practice Fax: 530-740-5192

1437098621 — WILDFLOWER PEDIATRICS INC
Practice Location Address:

19 ILAHEE LN
CHICO, CA
95973-7205

Practice Phone: 530-898-1201
Practice Fax: 530-898-1204

1386707149 — MRS. MELISSA JEAN STRUYF
Practice Location Address:

55 INDEPENDENCE CIR STE 104
CHICO, CA
95973-4909

Practice Phone: 530-804-3122
Practice Fax:

1164227310 — ALEXIS KUNDIGUNDA ROBINSON ASW
Practice Location Address:

630 BETTY BELLE LN
CHICO, CA
95973-8702

Practice Phone: 530-636-5472
Practice Fax:

Directions to “WILLOW GLEN CARE CENTER ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.