Organization Active NPI

CSL Woodbridge LLC

Doing business as The Waterford at Woodbridge

  • Assisted Living Facility
  • Plattsmouth, NE
National Provider Identifier
1194037242
Registry record updated Jul 6, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
ALF198 Issued in NE
Legal business name
CSL WOODBRIDGE LLC
Doing business as
The Waterford at Woodbridge
Practice address
1913 E Hwy 34
Plattsmouth, NE 68048
Phone
(402) 296-5133
Fax
(402) 296-3382
NPI assigned
Jul 6, 2010
Last updated
Jul 6, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2010

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

Authorized official

Name
Mrs. Gloria Holland
Title
VP-Finance
Phone
(972) 770-5600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X ALF198 NE Primary

Addresses

Primary practice location

1913 E Hwy 34
Plattsmouth, NE 68048

Mailing address

14160 Dallas Parkway
Suite 300
Dallas, TX 75254
Phone (972) 770-5600

Other names 1

  • The Waterford at Woodbridge Doing business as

National Provider Directory

National Provider Directory

Locations

1913 Old Highway 34
Plattsmouth, NE 68048
Phone (402) 296-5133

NPI Registry JSON

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

{
    "created_epoch": "1278374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278374400000",
    "number": "1194037242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14160 DALLAS PARKWAY",
            "address_2": "SUITE 300",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75254",
            "telephone_number": "972-770-5600",
            "fax_number": "972-770-5666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1913 E HWY 34",
            "city": "PLATTSMOUTH",
            "state": "NE",
            "postal_code": "68048",
            "telephone_number": "402-296-5133",
            "fax_number": "402-296-3382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CSL WOODBRIDGE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-06",
        "last_updated": "2010-07-06",
        "status": "A",
        "authorized_official_last_name": "HOLLAND",
        "authorized_official_first_name": "GLORIA",
        "authorized_official_title_or_position": "VP-FINANCE",
        "authorized_official_telephone_number": "972-770-5600",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NE",
            "license": "ALF198",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Waterford at Woodbridge",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Plattsmouth, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2010; 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.