Woodville I Enterprises, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

WOODVILLE I ENTERPRISES, LLC

Doing business as

The Orchard

Practice address

805 W Dogwood St
Woodville, TX 75979-4700

Phone

(409) 283-5678

Fax

(409) 283-2044

NPI assigned

Nov 20, 2007

Last updated

Nov 20, 2007By 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

Gary Blake

Title

Managing Member

Phone

(817) 832-3654

Specialties & licenses 1

Addresses

Other names 1

• The Orchard Doing business as

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

{
    "created_epoch": "1195516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195516800000",
    "number": "1134300072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 W DOGWOOD ST",
            "city": "WOODVILLE",
            "state": "TX",
            "postal_code": "759794700",
            "telephone_number": "409-283-5678",
            "fax_number": "409-283-2044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 W DOGWOOD ST",
            "city": "WOODVILLE",
            "state": "TX",
            "postal_code": "759794700",
            "telephone_number": "409-283-5678",
            "fax_number": "409-283-2044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODVILLE I ENTERPRISES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-20",
        "last_updated": "2007-11-20",
        "status": "A",
        "authorized_official_last_name": "BLAKE",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "817-832-3654"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Orchard",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Woodsville Dentistry PLLC (All Needz Dental)
• Woodville a.L. Home LLC (The Orchard Assisted Living)
• Woodville Dialysis Center LLP
• Woodville Eyecare PLLC
• Woodville Health Care Center LTD. Co (Woodville Health and Rehab Center)
• Woodville II Enterprises, LLC (Dogwood Trails Manor)
• Woodville Isd
• Anna Wueller, PT, DPT
• Meagan Lynn Yeates, RN, MSN, FNP-BC
• ZKBK Investments LLC (Woodville Drug)

• Assisted Living Facility in Woodville, TX
• Providers in Woodville, TX by specialty
• Assisted Living Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2007; 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.