Woodland Place Management, Inc

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

HAL-041-053 Issued in NC

Legal business name

WOODLAND PLACE MANAGEMENT, INC

Practice address

1915 Boulevard St
Greensboro, NC 27407-4513

Phone

(336) 855-1414

Fax

(336) 855-7455

NPI assigned

Mar 15, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Jay Mahan

Title

President

Phone

(919) 829-2482

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Woodland Place - Greensboro Doing business as

Tax ID family

Woodland Place - Clemmons2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Woodland Place Management, Inc

  • Assisted Living Facility
  • Clemmons, NC
  • NPI 1346374980
  NPD tax ID

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1043344609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1915 BOULEVARD ST",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274074513",
            "telephone_number": "336-855-1414",
            "fax_number": "336-855-7455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1915 BOULEVARD ST",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274074513",
            "telephone_number": "336-855-1414",
            "fax_number": "336-855-7455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODLAND PLACE MANAGEMENT, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MAHAN",
        "authorized_official_first_name": "JAY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "919-829-2482",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NC",
            "license": "HAL-041-053",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7805299",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Woodland Place - Greensboro",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Melanie Noe Woodard, LPC, NCC
• Martha Hartman Woodburn, PT
• Jonathan Daniel Woodbury, LCAS,LPCA
• Joanna Chesson Woodcock, MA,CCC-SLP
• Heidi Dale Woodgeard, LCAS, LCSWA
• Lee Ann Townsend Woodley, PA-C
• Kristen Woodliff
• Woodmere Center
• William Walter Woodruff III, M.D.
• Camille Woods

• Assisted Living Facility in Greensboro, NC
• Providers in Greensboro, NC by specialty
• Assisted Living Facility in North Carolina

• 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.