Woodland Assisted Living

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

BH 1028 Issued in WA

Legal business name

WOODLAND ASSISTED LIVING

Practice address

310 4TH St
Woodland, WA 98674-8488

Phone

(360) 225-9443

NPI assigned

Apr 11, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Brandon G Kaser

Title

Administrator

Phone

(360) 225-9443

Specialties & licenses 1

Addresses

Other identifiers 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1295959534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 69",
            "city": "WOODLAND",
            "state": "WA",
            "postal_code": "986740100",
            "telephone_number": "360-225-9443",
            "fax_number": "360-225-3703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 4TH ST",
            "city": "WOODLAND",
            "state": "WA",
            "postal_code": "986748488",
            "telephone_number": "360-225-9443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODLAND ASSISTED LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KASER",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "360-225-9443",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "WA",
            "license": "BH 1028",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "094722",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Deanna Warren, NC
• Katharine Maria Webb, SLP
• Catelyn Renee Wesley, LMT
• Stephanie G Wesztergom, ARNP
• Hannah Rose Wiler, CD, CPD
• Woodland Chiropractic Wellness Clinic, PS
• Woodland Enterprises Inc
• Woodland Eye & Vision
• Woodland School District
• Jennifer Annell Yoder, RDH

• Assisted Living Facility in Woodland, WA
• Providers in Woodland, WA by specialty
• Assisted Living Facility in Washington

• 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.
• 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.