NPIMap

Organization Active NPI

Diederick Van Der Velde

Doing business as The Woodlands of Hamilton Assisted Living, LLC

  • Assisted Living Facility
  • Hamilton, OH
National Provider Identifier
1053616318
Registry record updated Jan 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
DIEDERICK VAN DER VELDE
Doing business as
The Woodlands of Hamilton Assisted Living, LLC
Practice address
896 Northwest Washington Blvd
Hamilton, OH 45013-1281
Phone
(502) 500-7798
NPI assigned
Jan 18, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2011

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

Authorized official

Name
Diederick Van Der Vedle
Title
Owner
Phone
(502) 500-7798

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

896 Northwest Washington Blvd
Hamilton, OH 45013-1281

Mailing address

896 Northwest Washington Blvd
Hamilton, OH 45013-1281

Other names 1

  • The Woodlands of Hamilton Assisted Living, LLC Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1295308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295308800000",
    "number": "1053616318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "896 NORTHWEST WASHINGTON BLVD",
            "city": "HAMILTON",
            "state": "OH",
            "postal_code": "450131281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "896 NORTHWEST WASHINGTON BLVD",
            "city": "HAMILTON",
            "state": "OH",
            "postal_code": "450131281",
            "telephone_number": "502-500-7798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIEDERICK VAN DER VELDE",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-18",
        "last_updated": "2011-01-18",
        "status": "A",
        "authorized_official_last_name": "VAN DER VEDLE",
        "authorized_official_first_name": "DIEDERICK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "502-500-7798"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Woodlands of Hamilton Assisted Living, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hamilton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2011; 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.