Wood River Property LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

233802 Issued in PA

Legal business name

WOOD RIVER PROPERTY LLC

Practice address

3200 Bensalem Blvd
Bensalem, PA 19020-1956

Phone

(215) 752-2370

Fax

(215) 752-1672

NPI assigned

Oct 5, 2005

Last updated

May 22, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Gerard McEvilly, NHA

Title

Executive Director

Phone

(215) 752-2370

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Wood River Village Nursing Center Other name

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

{
    "created_epoch": "1128470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337644800000",
    "number": "1073500963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 BENSALEM BLVD",
            "city": "BENSALEM",
            "state": "PA",
            "postal_code": "190201956",
            "telephone_number": "215-752-2370",
            "fax_number": "215-752-1672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 BENSALEM BLVD",
            "city": "BENSALEM",
            "state": "PA",
            "postal_code": "190201956",
            "telephone_number": "215-752-2370",
            "fax_number": "215-752-1672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOOD RIVER PROPERTY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-05",
        "last_updated": "2012-05-22",
        "status": "A",
        "authorized_official_last_name": "MCEVILLY",
        "authorized_official_first_name": "GERARD",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "215-752-2370",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "NHA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "PA",
            "license": "233802",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5312656",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENCE BLUE CROSS",
            "identifier": "0002078000",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wood River Village Nursing Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Natalie R Wisneski, PA-C
• Magen Witmer
• Wjo, Inc (Bensalem Medical Center)
• Wolfgang a. Huhn, M.D., P.C.
• Virginia Lee Wolper, LPC
• Camryn Wood
• Patricia Catherine Wood, RN,MSN,CRNP-BC
• Woodhaven Dental Associates
• Woodhaven Dialysis Center LLC
• Woodhaven Ultimate Dental PLLC

• Skilled Nursing Facility in Bensalem, PA
• Providers in Bensalem, PA by specialty
• Skilled Nursing Facility in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2012; 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.