Woodville Health Care Center LTD. Co

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

108626 Issued in TX

Legal business name

WOODVILLE HEALTH CARE CENTER LTD. CO

Doing business as

Woodville Health and Rehab Center

Practice address

102 N Beech St
Woodville, TX 75979-4718

Phone

(214) 954-4114

Fax

(214) 871-3057

NPI assigned

Sep 22, 2005

Organization subpart

No

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

Authorized official

Name

Mrs. Robin Underhill

Title

Chief Executive

Phone

(214) 954-4114

Specialties & licenses 2

Addresses

Other identifiers 3

Other names 1

• Woodville Health and Rehab Center Doing business as

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

{
    "created_epoch": "1127347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219968000000",
    "number": "1043206345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2537 GOLDEN BEAR DR",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750062377",
            "telephone_number": "214-954-4114",
            "fax_number": "214-871-3057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 N BEECH ST",
            "city": "WOODVILLE",
            "state": "TX",
            "postal_code": "759794718",
            "telephone_number": "214-954-4114",
            "fax_number": "214-871-3057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODVILLE HEALTH CARE CENTER LTD. CO",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-22",
        "last_updated": "2008-08-29",
        "status": "A",
        "authorized_official_last_name": "UNDERHILL",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE",
        "authorized_official_telephone_number": "214-954-4114",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TX",
            "license": "108626",
            "primary": true
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "155861101",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000465204",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "022621901",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Woodville Health and Rehab Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Cheri Woodard, OT
• Woodsville Dentistry PLLC (All Needz Dental)
• Woodville a.L. Home LLC (The Orchard Assisted Living)
• Woodville Dialysis Center LLP
• Woodville Eyecare PLLC
• Woodville I Enterprises, LLC (The Orchard)
• Woodville II Enterprises, LLC (Dogwood Trails Manor)
• Woodville Isd
• Anna Wueller, PT, DPT
• Meagan Lynn Yeates, RN, MSN, FNP-BC

• Skilled Nursing Facility in Woodville, TX
• Providers in Woodville, TX by specialty
• Skilled Nursing Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2008; 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.