Woodridge of West Memphis, LLC

Primary specialty

Psychiatric HospitalTaxonomy code 283Q00000X

Legal business name

WOODRIDGE OF WEST MEMPHIS, LLC

Practice address

600 N 7TH St
West Memphis, AR 72301-3235

Phone

(870) 394-7100

Fax

(870) 394-7111

NPI assigned

Sep 16, 2014

Organization subpart

Yes

Parent organization

WOODRIDGE BEHAVIORAL CARE, LLCAs reported in NPPES

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

Authorized official

Name

Rochelle Gerber

Title

Director of Administrative Services

Phone

(470) 554-7903

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 2

• Perimeter Behavioral Hospital of West Memphis Doing business as
• Woodridge Behavioral Center Doing business as

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Hospital certification: CCN 044021

Legal name

WOODRIDGE OF WEST MEMPHIS, LLC

Doing business as

PERIMETER BEHAVIORAL HOSPITAL WEST MEMPHIS

Certification status

Active

Provider type (POS)

Hospital – Psychiatric

Participating since

Aug 13, 2015

Last certification

Nov 24, 2021

Beds

54

Ownership / control type

Church

Organization structure

LLCProprietary

Incorporated

Aug 23, 2012 in DE

Enrollment address

600 N 7TH St
West Memphis, AR 72301-3235
Other Hospital Practice Location

Hospital subgroups

Psychiatric

Listed as

Perimeter Behavioral Hospital of West MemphisCCN 044021

Type

Psychiatric

Ownership

Voluntary non-profit - Church

Medicare certification status

ActiveFrom the Provider of Services file

Emergency services

No

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

CLIA laboratory certificates

Part of

Woodridge Behavioral Care LLC

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Pioneer Homes Pharmacy

  • Long Term Care Pharmacy
  • Anchorage, AK
  • NPI 1528126653

  Member Of

  NPD member

All disclosed owners & managing parties 17

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

Facilities with the same owner 19

Facilities that share an organizational owner with 5% or greater ownership or operational control.

• Behavioral Healthcare Center at Clarksville, LLC

  • Psychiatric Hospital
  • Clarksville, TN
  • NPI 1346570777

  Mitchell Family II Irrevocable Trust U/a Dated October 26, 2016, Mitchell Family Irrevocable Trust U/a Dated December 28, 2012, Orchard Holdings II LLC, Orchard Holdings LLC

  CMS ownership
• Behavioral Healthcare Center at Columbia, LLC

  • Psychiatric Hospital
  • Columbia, TN
  • NPI 1891000923

  Mitchell Family II Irrevocable Trust U/a Dated October 26, 2016, Mitchell Family Irrevocable Trust U/a Dated December 28, 2012, Orchard Holdings II LLC, Orchard Holdings LLC

  CMS ownership
• Behavioral Healthcare Center at Huntsville, LLC

  • Psychiatric Hospital
  • Huntsville, AL
  • NPI 1225301823

  Mitchell Family II Irrevocable Trust U/a Dated October 26, 2016, Mitchell Family Irrevocable Trust U/a Dated December 28, 2012, Orchard Holdings II LLC, Orchard Holdings LLC

  CMS ownership
• Behavioral Healthcare Center at Martin LLC

  • Psychiatric Hospital
  • Martin, TN
  • NPI 1144324831

  Mitchell Family II Irrevocable Trust U/a Dated October 26, 2016, Mitchell Family Irrevocable Trust U/a Dated December 28, 2012, Orchard Holdings II LLC, Orchard Holdings LLC

  CMS ownership
• Behavioral Healthcare Center at Memphis, LLC

  • Psychiatric Hospital
  • Memphis, TN
  • NPI 1235516097

  Mitchell Family II Irrevocable Trust U/a Dated October 26, 2016, Mitchell Family Irrevocable Trust U/a Dated December 28, 2012, Orchard Holdings II LLC, Orchard Holdings LLC

  CMS ownership
• Clarksville Nursing and Rehabilitation Center LLC

  • Skilled Nursing Facility
  • Clarksville, TN
  • NPI 1790740462

  Mitchell Family II Irrevocable Trust U/a Dated October 26, 2016, Mitchell Family Irrevocable Trust U/a Dated December 28, 2012, Orchard Holdings II LLC, Orchard Holdings LLC

  CMS ownership
• Crestview Health Care and Rehabilitation LLC

  • Skilled Nursing Facility
  • Brownsville, TN
  • NPI 1972568749

  Mitchell Family II Irrevocable Trust U/a Dated October 26, 2016, Mitchell Family Irrevocable Trust U/a Dated December 28, 2012, Orchard Holdings II LLC, Orchard Holdings LLC

  CMS ownership
• Lake Pines Hospital, LLC

  • Psychiatric Hospital
  • Kenner, LA
  • NPI 1326593898

  Holdco Perimeter LLC, Mark T Mitchell Living Trust, Mfo Perimeter LLC, Mitchell Family II Irrevocable Trust U/a Dated October 26, 2016, Mitchell Family III Irrevocable GST Trust, Mitchell Family Irrevocable Trust U/a Dated December 28, 2012, Orchard

  CMS ownership
• Lewis County Nursing and Rehabilitation Center LLC

  • Skilled Nursing Facility
  • Hohenwald, TN
  • NPI 1538124045

  Mitchell Family II Irrevocable Trust U/a Dated October 26, 2016, Mitchell Family Irrevocable Trust U/a Dated December 28, 2012, Orchard Holdings II LLC, Orchard Holdings LLC

  CMS ownership
• Lexington Health Care and Rehabilitation LLC

  • Skilled Nursing Facility
  • Lexington, TN
  • NPI 1730144155

  Mitchell Family II Irrevocable Trust U/a Dated October 26, 2016, Mitchell Family Irrevocable Trust U/a Dated December 28, 2012, Orchard Holdings II LLC, Orchard Holdings LLC

  CMS ownership
• McKenzie Healthcare and Rehabilitation Center LLC

  • Skilled Nursing Facility
  • MC Kenzie, TN
  • NPI 1457316887

  Mitchell Family II Irrevocable Trust U/a Dated October 26, 2016, Mitchell Family Irrevocable Trust U/a Dated December 28, 2012, Orchard Holdings II LLC, Orchard Holdings LLC

  CMS ownership
• Mt Juliet Health Care Center LLC

  • Skilled Nursing Facility
  • Mount Juliet, TN
  • NPI 1508821752

  Mitchell Family II Irrevocable Trust U/a Dated October 26, 2016, Mitchell Family Irrevocable Trust U/a Dated December 28, 2012, Orchard Holdings II LLC, Orchard Holdings LLC

  CMS ownership

Practitioners 4

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

• Robin Senise Gordon

  • Psychiatric/Mental Health Nurse Practitioner
  • West Memphis, AR
  • NPI 1770314973
  NPD
• Antoinette Nicole Flowers, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Jackson, TN
  • NPI 1033834106
  NPD (past)
• Nga T. Huynh, MD

  • Psychiatry Physician
  • Memphis, TN
  • NPI 1679716013
  NPD (past)
• Michael J Rack, MD

  • Psychiatry Physician
  • Memphis, TN
  • NPI 1639194566
  NPD (past)

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

{
    "created_epoch": "1410825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1577923200000",
    "number": "1134521685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2520 NORTHWINDS PARKWAY",
            "address_2": "SUITE 550",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "30009",
            "telephone_number": "470-554-7903",
            "fax_number": "615-860-9228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 N 7TH ST",
            "city": "WEST MEMPHIS",
            "state": "AR",
            "postal_code": "723013235",
            "telephone_number": "870-394-7100",
            "fax_number": "870-394-7111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODRIDGE OF WEST MEMPHIS, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WOODRIDGE BEHAVIORAL CARE, LLC",
        "enumeration_date": "2014-09-16",
        "last_updated": "2020-01-02",
        "certification_date": "2020-01-02",
        "status": "A",
        "authorized_official_last_name": "GERBER",
        "authorized_official_first_name": "ROCHELLE",
        "authorized_official_title_or_position": "DIRECTOR OF ADMINISTRATIVE SERVICES",
        "authorized_official_telephone_number": "470-554-7903"
    },
    "taxonomies": [
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": "AR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "210599125",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Perimeter Behavioral Hospital of West Memphis",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Woodridge Behavioral Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Cynthia Roy Winters, RPH
• WM Crittenden Operations LLC
• Wood Dental Group, P.a.
• Charles Senter Wood Jr., DDS
• Woodridge Northeast, LLC
• Beatrice M Woods
• Edward Woods
• Melissa Worsham, RN
• Shane Worthington, SLPA
• Candace M Wright, PT

• All providers in West Memphis, AR
• Psychiatric Hospital in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2020; 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.