Active NPI
Woodrige Alf Operations LLC
- Assisted Living Facility
- South Bend, IN
National Provider Identifier
1194417824
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- 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 DirectorySpecialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | Primary |
Addresses
NPPES NPI RegistryPrimary 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
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.