Organization Active NPI

Woodrige Alf Operations LLC

  • Assisted Living Facility
  • South Bend, IN
National Provider Identifier
1194417824
Registry record updated May 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
WOODRIGE ALF OPERATIONS LLC
Practice address
17650 Generations Dr
South Bend, IN 46635-1536
Phone
(574) 271-1151
NPI assigned
May 22, 2023
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Mr. Mordechai Weisz
Title
Cfo
Phone
(347) 631-4068

National Provider Directory

National Provider Directory

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

NPPES NPI Registry

Primary practice location

17650 Generations Dr
South Bend, IN 46635-1536

Mailing address

50 Chestnut Ridge Rd Ste 107
Montvale, NJ 07645-1823
Phone (347) 631-4068

Other names 1

NPPES NPI Registry
  • Woodrige Village Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 22, 2023.

{
    "created_epoch": "1684713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684713600000",
    "number": "1194417824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 CHESTNUT RIDGE RD STE 107",
            "city": "MONTVALE",
            "state": "NJ",
            "postal_code": "076451823",
            "telephone_number": "347-631-4068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17650 GENERATIONS DR",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466351536",
            "telephone_number": "574-271-1151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODRIGE ALF OPERATIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-22",
        "last_updated": "2023-05-22",
        "certification_date": "2023-05-22",
        "status": "A",
        "authorized_official_last_name": "WEISZ",
        "authorized_official_first_name": "MORDECHAI",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "347-631-4068",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Woodrige Village",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in South Bend, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 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.