Woodlands Assisted Living Residence-Eastland

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

License

2072R Issued in OH

Legal business name

WOODLANDS ASSISTED LIVING RESIDENCE-EASTLAND

Practice address

2469 Kimberly Pkwy E
Columbus, OH 43232-4273

Phone

(614) 866-2080

NPI assigned

May 14, 2015

Organization subpart

Yes

Parent organization

RETIREMENT MANAGEMENT COMPANYAs reported in NPPES

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

Authorized official

Name

Mr. Richard M Osborne Jr.

Title

Managing Member

Phone

(216) 219-0290

Specialties & licenses 1

Addresses

Other names 1

• Woodlands of Eastland Other name

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

{
    "created_epoch": "1431561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431561600000",
    "number": "1275911992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2469 KIMBERLY PKWY E",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432324273",
            "telephone_number": "614-866-2080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2469 KIMBERLY PKWY E",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432324273",
            "telephone_number": "614-866-2080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODLANDS ASSISTED LIVING RESIDENCE-EASTLAND",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RETIREMENT MANAGEMENT COMPANY",
        "enumeration_date": "2015-05-14",
        "last_updated": "2015-05-14",
        "status": "A",
        "authorized_official_last_name": "OSBORNE",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "216-219-0290",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "OH",
            "license": "2072R",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Woodlands of Eastland",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Steven Woodfork II
• Casandra Woodgeard
• Marc Allen Woodgeard, RRT
• Nina Woodin, DMD
• Timothy Joseph Woodin
• Woodlands at Eastland
• Woodlands at Eastland LLC
• Abigail Woodley
• Ashlyn Kay Woodruff, LPN
• Darren Woodruff, DPM

• Preferred Provider Organization in Columbus, OH
• Providers in Columbus, OH by specialty
• Preferred Provider Organization in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2015; 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.