Woodland Village 5301 Tenant, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

791 Issued in LA

Legal business name

WOODLAND VILLAGE 5301 TENANT, LLC

Practice address

5301 Tullis Dr
New Orleans, LA 70131-8805

Phone

(504) 394-5807

Fax

(504) 394-5980

NPI assigned

Jul 18, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Alex Paley

Title

Coo

Phone

(914) 390-4363

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Woodland Village Nursing & Rehabilitation Center Doing business as

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

{
    "created_epoch": "1121644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202774400000",
    "number": "1376542969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5301 TULLIS DR",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701318805",
            "telephone_number": "504-394-5807",
            "fax_number": "504-394-5980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5301 TULLIS DR",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701318805",
            "telephone_number": "504-394-5807",
            "fax_number": "504-394-5980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODLAND VILLAGE 5301 TENANT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-18",
        "last_updated": "2008-02-12",
        "status": "A",
        "authorized_official_last_name": "PALEY",
        "authorized_official_first_name": "ALEX",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "914-390-4363",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "LA",
            "license": "791",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1510017",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Woodland Village Nursing & Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ginger Leigh Woodall, MS, SLP
• Alexandra Zoe Woodbridge, MD
• Alyson Wooderson, DNP
• Brittney Theurer Woodis, RN
• Woodland Physicians Group, LLC
• Berthard Gerard Woodrich, LCSW
• Naikia Lewis Woodrich, P.T.
• Gilda Woodridge
• Norman Woodridge
• Mia Woodroof, NP

• Skilled Nursing Facility in New Orleans, LA
• Providers in New Orleans, LA by specialty
• Skilled Nursing Facility in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2008; 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.