MEDICARE: WILLOW CREEK HOME HEALTH, LLC

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	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1255479481
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WILLOW CREEK HOME HEALTH, LLC

Provider Business Mailing Address
First Line	:	4555 E INVERNESS AVE
Second Line	:	SUITE 101
City	:	MESA
State	:	AZ
Zip	:	85206-4630
Country	:	US
Telephone Number	:	480-633-1555
Fax Number	:	480-633-1556

Provider Business Practice Location Address
First Line	:	4555 E INVERNESS AVE
Second Line	:	SUITE 101
City	:	MESA
State	:	AZ
Zip	:	85206-4630
Country	:	US
Telephone Number	:	480-633-1555
Fax Number	:	480-633-1556

Authorized Official
Title or Position	:	ADMINISTATOR
Name	:	MR. JONATHAN R MONKS
Credential	:
Telephone Number	:	480-633-1555

Provider Enumeration Date	:	02/01/2007
Last Update Date	:	08/22/2020

Similar Medicare Providers

1164108205 — TIFFANY LUC NP
Practice Location Address:

4555 E INVERNESS AVE BLDG 3
MESA, AZ
85206-4630

Practice Phone: 480-361-0110
Practice Fax:

1700844610 — VALLEY OXIMETRY INCORPORATED
Practice Location Address:

4555 E INVERNESS AVE , BUILDING 3
MESA, AZ
85206-4630

Practice Phone: 480-830-3900
Practice Fax: 480-830-3901

1932266657 — SUN VALLEY HOSPICE LLC
Practice Location Address:

4555 E INVERNESS AVE , STE 102
MESA, AZ
85206-4630

Practice Phone: 480-558-2002
Practice Fax:

1952696643 — MICHAEL A MOHAN MD
Practice Location Address:

4555 E INVERNESS AVE , SUITE 112
MESA, AZ
85206-4630

Practice Phone: 480-830-3900
Practice Fax:

1265874630 — VALLEY SLEEP PHYSICIANS, INC
Practice Location Address:

4555 E INVERNESS AVE STE 112
MESA, AZ
85206-4630

Practice Phone: 480-361-0110
Practice Fax: 480-830-3901

1609318153 — VALLEY SLEEP THERAPY INC
Practice Location Address:

4555 E INVERNESS AVE STE 105
MESA, AZ
85206-4630

Practice Phone: 480-361-0124
Practice Fax: 480-247-5370

Directions to “WILLOW CREEK HOME HEALTH, LLC ” 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.