Woodbury Nursing Center

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

21 Issued in TN

Legal business name

WOODBURY NURSING CENTER

Practice address

119 W High St
Woodbury, TN 37190-1226

Phone

(615) 563-5939

Fax

(615) 563-4043

NPI assigned

Nov 20, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Wally B. Vernon

Title

Administrator

Phone

(615) 563-5939

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Ocoee Foundation-CC LLC2 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.

• Ocoee Foundation-CC LLC

  dba Woodbury Nursing and Rehabilitation Center

  • Skilled Nursing Facility
  • Woodbury, TN
  • NPI 1982876454
  NPD tax ID

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1134293384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 W HIGH ST",
            "city": "WOODBURY",
            "state": "TN",
            "postal_code": "371901226",
            "telephone_number": "615-563-5939",
            "fax_number": "615-563-4043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 W HIGH ST",
            "city": "WOODBURY",
            "state": "TN",
            "postal_code": "371901226",
            "telephone_number": "615-563-5939",
            "fax_number": "615-563-4043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODBURY NURSING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VERNON",
        "authorized_official_first_name": "WALLY",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "615-563-5939",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TN",
            "license": "21",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0445435",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Williams Foot Center, PLLC
• Woodbury Dental Partners
• Woodbury Drug Center LLC
• Woodbury Family Dental PLLC (Woodbury Dental Partners)
• Woodbury Mental Health LLC
• Diana Lynn Woodson, PHARMD
• Joseph Thomas Woodson III, PHARM D
• Woodson's Pharmacy, Inc.
• Hope Melton Young, ATC
• Keith Young, M.D.

• Skilled Nursing Facility in Woodbury, TN
• Providers in Woodbury, TN by specialty
• Skilled Nursing Facility in Tennessee

• 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.