NPIMap

Organization Active NPI

Woodland Residential Services, Inc.

  • Nursing Facility/Intermediate Care Facility
  • Woodland, CA
National Provider Identifier
1033328901
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X
Legal business name
WOODLAND RESIDENTIAL SERVICES, INC.
Practice address
418 North St
Woodland, CA 95695-3234
Phone
(530) 406-0333
NPI assigned
May 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Parminder Kajley
Title
Administrator
Phone
(530) 406-0333

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility/Intermediate Care Facility 313M00000X CA Primary

Addresses

Primary practice location

418 North St
Woodland, CA 95695-3234

Mailing address

1381 E Gum Ave
Woodland, CA 95776-4275
Phone (530) 406-0333

Other names 1

  • North Program Other name

National Provider Directory

National Provider Directory
Tax ID family
Elliot Program7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1033328901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1381 E GUM AVE",
            "city": "WOODLAND",
            "state": "CA",
            "postal_code": "957764275",
            "telephone_number": "530-406-0333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "418 NORTH ST",
            "city": "WOODLAND",
            "state": "CA",
            "postal_code": "956953234",
            "telephone_number": "530-406-0333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODLAND RESIDENTIAL SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KAJLEY",
        "authorized_official_first_name": "PARMINDER",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "530-406-0333"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "North Program",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Woodland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.