Woodlawn Healthcare Center LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

WOODLAWN HEALTHCARE CENTER LLC

Practice address

84 Pine St
Newport, NH 03773-2005

Phone

(607) 323-1233

NPI assigned

Sep 30, 2024

Last updated

Jan 21, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Avraham Berger

Title

Member

Phone

(607) 323-1233

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NH

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1265250245. Details of each certification follow.

• CCN 305097 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 305097

Legal name

WOODLAWN HEALTHCARE CENTER LLC

Doing business as

CORRECT TAX ID 99-0572643

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Dec 1, 2003

Last certification

Jan 14, 2025

Beds

53

Ownership / control type

Limited Liability Corporation

Organization structure

LLCProprietary

Enrollment address

84 Pine St
Newport, NH 03773-2005

Nursing home name

WOODLAWN HEALTHCARE CENTER LLC

Listed as

Woodlawn Healthcare Center LLCCCN 305097 · All quality measures

Overall star rating

2 of 5

Health inspections

2 of 5

Staffing

3 of 5

Quality measures

2 of 5

Type

Medicare and Medicaid

Ownership

For profit - Limited Liability company

Certified

Dec 1, 2003

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

5350.9 residents per day on average

Processed by Care Compare on Aug 1, 2026.

All disclosed owners & managing parties 4

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Peter G Doane, MD

  • Family Medicine Physician
  • Bristol, NH
  • NPI 1184694804

  Adp of the SNF, Managing Control - Governing Body, Operational/Managerial Control

  CMS ownership

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Peter G Doane, MD

  • Family Medicine Physician
  • Bristol, NH
  • NPI 1184694804
  NPD (past)

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Peter G Doane, MD

  • Family Medicine Physician
  • Bristol, NH
  • NPI 1184694804

  Nursing home

  Care Compare affiliation
• Sanjay Krishnan, M.D.

  • Internal Medicine Physician
  • Deerfield, NH
  • NPI 1477565851

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1727654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737417600000",
    "number": "1265250245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 BLUERIDGE DRIVE EXT",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067046122",
            "telephone_number": "607-323-1233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "84 PINE ST",
            "city": "NEWPORT",
            "state": "NH",
            "postal_code": "037732005",
            "telephone_number": "607-323-1233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODLAWN HEALTHCARE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-30",
        "last_updated": "2025-01-21",
        "certification_date": "2025-01-13",
        "status": "A",
        "authorized_official_last_name": "BERGER",
        "authorized_official_first_name": "AVRAHAM",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "607-323-1233"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Valley Regional Hospital (Sullivan County Partners in Health)
• Valley Regional Hospital Inc. (Valley Regional Primary Care Physicians)
• Dawn M Werntz, LICSW
• John Lewis West, MD
• Thomas R Wilmot, RPH
• Abdalghani A Yahya
• Z Pharmacy

• Skilled Nursing Facility in Newport, NH
• Providers in Newport, NH by specialty
• Skilled Nursing Facility in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.