Organization Active NPI

Woldenberg Village Inc

  • Skilled Nursing Facility
  • New Orleans, LA
National Provider Identifier
1023110897
Registry record updated Aug 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
161 Issued in LA
Legal business name
WOLDENBERG VILLAGE INC
Practice address
3701 Berhman Place
New Orleans, LA 70114
Phone
(504) 367-5640
Fax
(504) 367-5643
NPI assigned
Sep 2, 2006
Last updated
Aug 2, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Joseph Townsend
Title
Executive Director
Phone
(504) 367-5640

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 161 LA Primary

Addresses

Primary practice location

3701 Berhman Place
New Orleans, LA 70114

Mailing address

3701 Behrman Place
New Orleans, LA 70114
Phone (504) 367-5640

Other identifiers 2

IdentifierTypeStateIssuer
1511561MedicaidLA
33632OtherLABLUE CROSS BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090629000516 LA Part A Provider - Skilled Nursing Facility 9830174077 Practice locations: New Orleans, LA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1023110897. Details of each certification follow.

Skilled nursing facility certification: CCN 195156

Legal name
WOLDENBERG VILLAGE INC
Doing business as
WILLOW WOOD AT WOLDENBERG VILLAGE
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF distinct part
Participating since
Jan 28, 1991
Last certification
Jul 10, 2024
Beds
120
Ownership / control type
Other Nonprofit
Organization structure
CorporationNon-profit
Incorporated
Jun 23, 1959 in LA
Enrollment address
3701 Behrman PL
New Orleans, LA 70114-0910
Nursing home name
WILLOW WOOD AT WOLDENBERG VILLAGE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Willow Wood at Woldenberg VillageCCN 195156 · All quality measures
Overall star rating
3 of 5
Health inspections
3 of 5
Staffing
2 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Other
Certified
Jan 28, 1991
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
120112.1 residents per day on average
Penalties (3 years)
1Fines totaling $40,248

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
19D0709047Living Centre of Woldenberg Village3701 Behrman Place, New Orleans, LA 70114Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 7

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Bradley Sinclair Individual Corporate DirectorCfo, Touro Sep 30, 2019
Manuel Linares Individual Corporate OfficerPresident and Ceo, Touro Sep 30, 2019
Corporate DirectorBoard Member - President Sep 30, 2019
Zeb S Landers Individual W-2 Managing EmployeeAdministrator Jun 25, 2021
Suzanne C Haggard Individual Corporate OfficerSecretary Sep 1, 2019
Corporate DirectorBoard Member -Secretary Dec 31, 2011
Joshua E Lowentritt Individual Corporate DirectorBoard Member; Medical Director Dec 31, 2009
Touro Infirmary Organization, New Orleans, LA Corporation, Medical provider/supplier, Non-profit 5% Or Greater Indirect Ownership Interest May 17, 1999 100%
Woldenberg Village Inc Organization, New Orleans, LA Corporation, Medical provider/supplier, Non-profit 5% Or Greater Direct Ownership Interest Jan 1, 1966 100%

Owners & managing parties with NPI records 4

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1157155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375401600000",
    "number": "1023110897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3701 BEHRMAN PLACE",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "70114",
            "telephone_number": "504-367-5640",
            "fax_number": "504-367-5643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3701 BERHMAN PLACE",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "70114",
            "telephone_number": "504-367-5640",
            "fax_number": "504-367-5643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOLDENBERG VILLAGE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-02",
        "last_updated": "2013-08-02",
        "status": "A",
        "authorized_official_last_name": "TOWNSEND",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "504-367-5640"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "LA",
            "license": "161",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1511561",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "33632",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Orleans, LA

Sources for this page

Verify at the official NPI Registry.