Organization Active NPI

Woods Community Services LLC

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Levittown, PA
National Provider Identifier
1154067551
Registry record updated Sep 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
Legal business name
WOODS COMMUNITY SERVICES LLC
Practice address
22 Laurel LN
Levittown, PA 19054-3920
Phone
(215) 750-4000
NPI assigned
May 9, 2022
Last updated
Sep 8, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2022

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

Authorized official

Name
Mary Ellen Angelini
Title
Avp Special Projects
Phone
(215) 750-4285

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU
Professional Counselor 101YP2500X NU
Psychiatry Physician 2084P0800X NU
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X NU Primary

Addresses

Primary practice location

22 Laurel LN
Levittown, PA 19054-3920

Mailing address

40 Martin Gross Dr
Langhorne, PA 19047-1616
Phone (215) 750-4244

Other identifiers 1

IdentifierTypeStateIssuer
CER-00190071OtherPAPENNSYLVANIA DEPARTMENT OF HUMAN SERVICES

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL www.woods.org
CONNECT URL Levittown

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230930000532 PA Part B Supplier - Clinic/Group Practice 0042664625 Receives reassigned benefits from 15 practitioners
11 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Levittown, PA; Langhorne, PA; Exton, PA; Coatesville, PA

Other NPIs on the same Medicare enrollment 11

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Woods Community Services Inc18 organizations share this tax ID, including this one

Other organizations with this tax ID 17

Organizations that report the same tax identification number in the National Provider Directory.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1652054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662595200000",
    "number": "1154067551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 MARTIN GROSS DR",
            "city": "LANGHORNE",
            "state": "PA",
            "postal_code": "190471616",
            "telephone_number": "215-750-4244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 LAUREL LN",
            "city": "LEVITTOWN",
            "state": "PA",
            "postal_code": "190543920",
            "telephone_number": "215-750-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODS COMMUNITY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-09",
        "last_updated": "2022-09-08",
        "certification_date": "2022-09-08",
        "status": "A",
        "authorized_official_last_name": "ANGELINI",
        "authorized_official_first_name": "MARY ELLEN",
        "authorized_official_title_or_position": "AVP SPECIAL PROJECTS",
        "authorized_official_telephone_number": "215-750-4285"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PENNSYLVANIA DEPARTMENT OF HUMAN SERVICES",
            "identifier": "CER-00190071",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.woods.org",
            "affiliation": "N",
            "address_1": "22 Laurel Ln",
            "city": "Levittown",
            "state": "PA",
            "country_code": "US",
            "postal_code": "190543920",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Levittown",
            "affiliation": "N",
            "address_1": "22 Laurel Ln",
            "city": "Levittown",
            "state": "PA",
            "country_code": "US",
            "postal_code": "190543920",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Levittown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.