Woodlawn L L C

Primary specialty

Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X

License

NH6201 Issued in OK

Legal business name

WOODLAWN L L C

Doing business as

Ada Retirement & Care Center

Practice address

931 N Country Club Rd
Ada, OK 74820-2845

Phone

(580) 332-3631

NPI assigned

Aug 15, 2005

Organization subpart

No

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

Authorized official

Name

Debra Jones

Title

Administrator

Phone

(580) 332-3631

Specialties & licenses 1

Addresses

Other names 1

• ADA RETIREMENT & CARE CENTER Doing business as

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

{
    "created_epoch": "1124064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1356343792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1185",
            "city": "ADA",
            "state": "OK",
            "postal_code": "748211185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "931 N COUNTRY CLUB RD",
            "city": "ADA",
            "state": "OK",
            "postal_code": "748202845",
            "telephone_number": "580-332-3631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODLAWN L L C",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "580-332-3631"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "OK",
            "license": "NH6201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ADA RETIREMENT & CARE CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ryan Lance Winters, B.S.
• Holli Rae Witherington, BA
• Benny Ross Wofford, PA
• Julie Kaylynn Wolfe, O.D.
• James Phillip Wood, PSRS
• Laronda Akisha Woods Reddick, MED, CM
• Hugh Work
• Kaitlin Rachelle Worley
• Shannon Marie Worley, NAVIGATOR
• Patricia Mae Wright

• Nursing Facility/Intermediate Care Facility in Ada, OK
• Providers in Ada, OK by specialty
• Nursing Facility/Intermediate Care Facility in Oklahoma

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.