MEDICARE: WILLOW TREE HOME HEALTH CARE 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	253Z00000X	In Home Supportive Care Agency
2	251E00000X	Home Health Agency

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1356950406
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WILLOW TREE HOME HEALTH CARE LLC

Provider Business Mailing Address
First Line	:	374 PHOENIX AVE
Second Line	:
City	:	BELLEFONTE
State	:	PA
Zip	:	16823-1309
Country	:	US
Telephone Number	:	814-810-2389
Fax Number	:	814-810-2390

Provider Business Practice Location Address
First Line	:	374 PHOENIX AVE
Second Line	:
City	:	BELLEFONTE
State	:	PA
Zip	:	16823-1309
Country	:	US
Telephone Number	:	814-810-2389
Fax Number	:	814-810-2390

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MARLEEN MATSKO
Credential	:	RN-BC, BSN
Telephone Number	:	814-810-2389

Provider Enumeration Date	:	07/24/2020
Last Update Date	:	09/05/2025

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