NPIMap

Organization Active NPI

Woodlawn, LLC

  • Respite Care
  • Guthrie, OK
National Provider Identifier
1205907631
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Respite CareTaxonomy code 385H00000X
License
DC4201 Issued in OK
Legal business name
WOODLAWN, LLC
Practice address
2219 Woodlawn Ave
Guthrie, OK 73044-5759
Phone
(405) 282-3630
Fax
(405) 282-7847
NPI assigned
Nov 9, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Gerald Duehning
Title
Administrator
Phone
(405) 282-2600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Respite Care 385H00000X DC4201 OK Primary

Addresses

Primary practice location

2219 Woodlawn Ave
Guthrie, OK 73044-5759

Mailing address

PO Box 977
Guthrie, OK 73044-0977
Phone (405) 282-2600

Other names 1

  • COLONIAL ESTATES ADULT DAY CARE Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Colonial Estates Adult Day Care3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1205907631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 977",
            "city": "GUTHRIE",
            "state": "OK",
            "postal_code": "730440977",
            "telephone_number": "405-282-2600",
            "fax_number": "405-282-2610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2219 WOODLAWN AVE",
            "city": "GUTHRIE",
            "state": "OK",
            "postal_code": "730445759",
            "telephone_number": "405-282-3630",
            "fax_number": "405-282-7847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODLAWN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DUEHNING",
        "authorized_official_first_name": "GERALD",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "405-282-2600",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "OK",
            "license": "DC4201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "COLONIAL ESTATES ADULT DAY CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Guthrie, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.