Woodlake Operations, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

20110601502 Issued in KY

Legal business name

WOODLAKE OPERATIONS, LLC

Doing business as

Elmcroft of Mt. Washington

Practice address

9510 Ormsby Station Rd
Suite 101
Louisville, KY 40223-4081

Phone

(502) 753-6000

Fax

(502) 753-6100

NPI assigned

Jun 18, 2012

Last updated

Jun 18, 2012By the provider in NPPES

Organization subpart

Yes

Parent organization

SENIOR CARE, INC.As reported in NPPES

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

Authorized official

Name

Robin L. Barber, JD

Title

Vice President & Secretary

Phone

(502) 753-6000

Specialties & licenses 1

Addresses

Other names 1

• Elmcroft of Mt. Washington Doing business as

Locations

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

{
    "created_epoch": "1339977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339977600000",
    "number": "1255694071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9510 ORMSBY STATION RD",
            "address_2": "SUITE 101",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402234081",
            "telephone_number": "502-753-6000",
            "fax_number": "502-753-6100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9510 ORMSBY STATION RD",
            "address_2": "SUITE 101",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402234081",
            "telephone_number": "502-753-6000",
            "fax_number": "502-753-6100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODLAKE OPERATIONS, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SENIOR CARE, INC.",
        "enumeration_date": "2012-06-18",
        "last_updated": "2012-06-18",
        "status": "A",
        "authorized_official_last_name": "BARBER",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "VICE PRESIDENT & SECRETARY",
        "authorized_official_telephone_number": "502-753-6000",
        "authorized_official_credential": "JD"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "KY",
            "license": "20110601502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elmcroft of Mt. Washington",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Cierra Payton Woodcock
• Sara Vlazny Woodcock, APRN
• Thomas M Woodcock, M.D.
• Angela Michelle Woodford, APRN
• Bridget Nichole Woodham, M.S. CCC-SLP
• Kyndl Xavyr Woodlee, PH.D.
• Tyler Woodling, DMD
• Marlena F Woodmansee, PSY.D.
• Martin Shea Woodrome
• Brian Joel Woodruff, P.T.

• Assisted Living Facility in Louisville, KY
• Providers in Louisville, KY by specialty
• Assisted Living Facility in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2012; 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.