Woodland Enterprises Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

749 Issued in WA

Legal business name

WOODLAND ENTERPRISES INC

Practice address

310 4TH Street
Woodland, WA 98674-8488

Phone

(360) 225-9443

Fax

(360) 225-3703

NPI assigned

Jan 27, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Bryan M Clay

Title

Administrator

Phone

(360) 794-9020

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Woodland Convalescent Center Doing business as

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Skilled nursing facility certification: CCN 505232

Legal name

WOODLAND ENTERPRISES INC

Doing business as

WOODLAND CONVALESCENT CENTER

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Jan 1, 1975

Last certification

May 3, 2024

Beds

62

Ownership / control type

Corporation

Organization structure

Not SelectedProprietary

Enrollment address

310 4TH St
Woodland, WA 98674-8488

Nursing home name

WOODLAND CONVALESCENT CENTER

Listed as

Woodland Convalescent CenterCCN 505232

Overall star rating

2 of 5

Health inspections

3 of 5

Staffing

1 of 5

Quality measures

3 of 5

Type

Medicare and Medicaid

Ownership

For profit - Corporation

Certified

Jan 1, 1975

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

6245.8 residents per day on average

Penalties (3 years)

3Fines totaling $31,793

Processed by Care Compare on Aug 1, 2026.

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

All disclosed owners & managing parties 6

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tresha Carroll, DO

  • Family Medicine Physician
  • Longview, WA
  • NPI 1932132552
  NPD (past)

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Tresha Carroll, DO

  • Family Medicine Physician
  • Longview, WA
  • NPI 1932132552

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1138320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332892800000",
    "number": "1063483337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 69",
            "city": "WOODLAND",
            "state": "WA",
            "postal_code": "986748488",
            "telephone_number": "360-225-9443",
            "fax_number": "360-225-3703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 4TH STREET",
            "city": "WOODLAND",
            "state": "WA",
            "postal_code": "986748488",
            "telephone_number": "360-225-9443",
            "fax_number": "360-225-3703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODLAND ENTERPRISES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-27",
        "last_updated": "2012-03-28",
        "status": "A",
        "authorized_official_last_name": "CLAY",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "360-794-9020",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "WA",
            "license": "749",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41-74900",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4174900",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Woodland Convalescent Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Catelyn Renee Wesley, LMT
• Stephanie G Wesztergom, ARNP
• Hannah Rose Wiler, CD, CPD
• Woodland Assisted Living
• Woodland Chiropractic Wellness Clinic, PS
• Woodland Eye & Vision
• Woodland School District
• Jennifer Annell Yoder, RDH
• Melodi Christine Yost, LMP, LMT
• Hadi Youssef, DMD

• Skilled Nursing Facility in Woodland, WA
• Providers in Woodland, WA by specialty
• Skilled Nursing Facility in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.