Woodcrest Care, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

WOODCREST CARE, LLC

Practice address

218 Fern Rd
Dexter, ME 04930-2609

Phone

(207) 924-3818

NPI assigned

Aug 7, 2023

Organization subpart

No

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

Authorized official

Name

Derek E Wood, ADMINISTRATOR

Title

Presidient

Phone

(207) 949-2300

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1691366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691625600000",
    "number": "1194408245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 PEARL ST, STE 410E #144",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "04101",
            "telephone_number": "207-949-2300",
            "fax_number": "207-848-8480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "218 FERN RD",
            "city": "DEXTER",
            "state": "ME",
            "postal_code": "049302609",
            "telephone_number": "207-924-3818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODCREST CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-07",
        "last_updated": "2023-08-10",
        "certification_date": "2023-08-10",
        "status": "A",
        "authorized_official_last_name": "WOOD",
        "authorized_official_first_name": "DEREK",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDIENT",
        "authorized_official_telephone_number": "207-949-2300",
        "authorized_official_credential": "ADMINISTRATOR"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Dexter, ME
• Assisted Living Facility in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2023; 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.