Active NPI
Woldenberg Village Inc
- Skilled Nursing Facility
- New Orleans, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 161
- 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, 2013
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1511561 | Medicaid | LA | |
| 33632 | Other | LA | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Corporation
- 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 Village
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- Non profit - Other
- Certified
- Jan 28, 1991
- Medicare certification status
- Active
- Certified beds
- 120
- Penalties (3 years)
- 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 19D0709047 | Living Centre of Woldenberg Village | Certificate of waiver | Aug 31, 2026 |
National Provider Directory
National Provider DirectoryMember 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.
| Name | Role | Since | Share |
|---|---|---|---|
| Bradley Sinclair | Corporate Director | Sep 30, 2019 | |
| Manuel Linares | Corporate Officer | Sep 30, 2019 | |
| Corporate Director | Sep 30, 2019 | ||
| Zeb S Landers | W-2 Managing Employee | Jun 25, 2021 | |
| Suzanne C Haggard | Corporate Officer | Sep 1, 2019 | |
| Corporate Director | Dec 31, 2011 | ||
| Joshua E Lowentritt | Corporate Director | Dec 31, 2009 | |
| Touro Infirmary | 5% Or Greater Indirect Ownership Interest | May 17, 1999 | 100% |
| Woldenberg Village Inc | 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.
-
- Rehabilitation Hospital Unit
- New Orleans, LA
- NPI 1588817878
5% Or Greater Indirect Ownership Interest
-
dba Touro at Home, Touro Infirmary
- Home Health Agency
- New Orleans, LA
- NPI 1710003504
5% Or Greater Indirect Ownership Interest
-
- General Acute Care Hospital
- New Orleans, LA
- NPI 1821098286
5% Or Greater Indirect Ownership Interest
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.
-
- Geriatric Medicine (Family Medicine) Physician
- New Orleans, LA
- NPI 1578820619
-
- Internal Medicine Physician
- Dallas, TX
- NPI 1821344904
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.