Senior Care Woodland Elders, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

SENIOR CARE WOODLAND ELDERS, LLC

Doing business as

Woodbury Estates

Practice address

2825 Woodlane Dr
Woodbury, MN 55125-2906

Phone

(651) 714-1000

NPI assigned

Aug 6, 2008

Last updated

Aug 6, 2008By 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

Greg Brown

Title

President/Cfo

Phone

(952) 888-2923

Specialties & licenses 1

Addresses

Other names 1

• Woodbury Estates Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Maya Renee Delport, OTR/L

  • Occupational Therapist
  • Eden Prairie, MN
  • NPI 1275183154
  NPD (past)

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

{
    "created_epoch": "1217980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217980800000",
    "number": "1184880361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2825 WOODLANE DR",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551252906",
            "telephone_number": "651-714-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2825 WOODLANE DR",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551252906",
            "telephone_number": "651-714-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENIOR CARE WOODLAND ELDERS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-06",
        "last_updated": "2008-08-06",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "GREG",
        "authorized_official_title_or_position": "PRESIDENT/CFO",
        "authorized_official_telephone_number": "952-888-2923"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Woodbury Estates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Karen J. Sedivy, MD
• Sarah Seema, MA
• Sees the Day LTD (Pearle Vision)
• Alejandra Hannah Seghers
• Senior Care Woodbury, LLC (Woodbury Villa)
• Senseability Pathways LLC
• Deborah K Sepeta, PAC
• Faith Marie Seppi
• Brittney Serbus
• Serendipity Counseling Services, LLC

• Assisted Living Facility in Woodbury, MN
• Providers in Woodbury, MN by specialty
• Assisted Living Facility in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2008; 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.