Woodlands of Liberty LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

WOODLANDS OF LIBERTY LLC

Practice address

250 Smokerise Dr
Wadsworth, OH 44281-8210

Phone

(330) 336-3616

NPI assigned

Aug 8, 2024

Organization subpart

Yes

Parent organization

WOODLANDS OF LIBERTY LLCAs reported in NPPES

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

Authorized official

Name

Sherri Berghoff

Title

Consultant

Phone

(260) 446-4980

Specialties & licenses 1

Addresses

Tax ID family

Woodlands of Liberty LLC2 organizations share this tax ID, including this one

Part of

Woodlands of Liberty LLC

Other organizations with this tax ID 1

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

• Woodlands of Liberty LLC

  • Assisted Living Facility
  • Wadsworth, OH
  • NPI 1568225092
  NPD tax ID

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Woodlands of Liberty LLC

  • Assisted Living Facility
  • Wadsworth, OH
  • NPI 1568225092
  NPPES parent name

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

{
    "created_epoch": "1723075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723075200000",
    "number": "1033940432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 SMOKERISE DR",
            "city": "WADSWORTH",
            "state": "OH",
            "postal_code": "442818210",
            "telephone_number": "330-336-3616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 SMOKERISE DR",
            "city": "WADSWORTH",
            "state": "OH",
            "postal_code": "442818210",
            "telephone_number": "330-336-3616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODLANDS OF LIBERTY LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WOODLANDS OF LIBERTY LLC",
        "enumeration_date": "2024-08-08",
        "last_updated": "2024-08-08",
        "certification_date": "2024-08-08",
        "status": "A",
        "authorized_official_last_name": "BERGHOFF",
        "authorized_official_first_name": "SHERRI",
        "authorized_official_title_or_position": "CONSULTANT",
        "authorized_official_telephone_number": "260-446-4980"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nancy I Wise, CRNA
• Wolf Creek Counseling, LLC
• Wolf Creek Wellness LLC
• Allison Wolferd, LSW
• Rachael Wolter, MS
• Woodlands of Liberty LLC
• Stefanie Liu Wyszkowski
• Neelam Mahendra Yi
• Anissi M Younes, RPH
• Randy J Young, PTA4755

• Assisted Living Facility in Wadsworth, OH
• Providers in Wadsworth, OH by specialty
• Assisted Living Facility in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2024; 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.