Wood Lake Health Care Associates LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

SNF13390962 Issued in FL

Legal business name

WOOD LAKE HEALTH CARE ASSOCIATES LLC

Practice address

6414 13TH Rd S
West Palm Beach, FL 33415-1401

Phone

(561) 478-9900

Fax

(561) 478-5067

NPI assigned

May 26, 2006

Organization subpart

No

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

Authorized official

Name

John S. Glass

Title

Manager

Phone

(561) 478-9900

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Wood Lake Health and Rehabilitation Center Doing business as

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1385510400000",
    "number": "1255387601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6414 13TH RD S",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334151401",
            "telephone_number": "561-478-9900",
            "fax_number": "561-478-5067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6414 13TH RD S",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334151401",
            "telephone_number": "561-478-9900",
            "fax_number": "561-478-5067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOOD LAKE HEALTH CARE ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-26",
        "last_updated": "2013-11-27",
        "status": "A",
        "authorized_official_last_name": "GLASS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "561-478-9900"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "FL",
            "license": "SNF13390962",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "026159900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wood Lake Health and Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Women'S Health and Education Network of Palm Beach County
• Women'S Health and Education Network of Palm Beach County Inc.
• Andrew Charles Wondra, MD
• George C. Wong, M.D.
• Sophia Lynn Wong, LCSW
• Niesha Wood, MS
• Sonja Woodard, RRT
• Daniel Woods, M.D.
• Irma Lee Woods, BS
• Shuntel Michelle Woods

• Skilled Nursing Facility in West Palm Beach, FL
• Providers in West Palm Beach, FL by specialty
• Skilled Nursing Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2013; 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.