Woodcrest Manor, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

WOODCREST MANOR, LLC

Doing business as

Woodcrest Manor Care Center

Practice address

3876 Turkeyfoot Rd
Elsmere, KY 41018-2838

Phone

(859) 342-8775

Fax

(859) 342-8701

NPI assigned

Nov 13, 2006

Last updated

Mar 31, 2008By 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

Donna Jo Maassen

Title

Director of Compliance

Phone

(414) 908-8119

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Woodcrest Manor Care Center Doing business as

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206921600000",
    "number": "1417028986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 W MICHIGAN ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532032903",
            "telephone_number": "414-908-8119",
            "fax_number": "414-908-7105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3876 TURKEYFOOT RD",
            "city": "ELSMERE",
            "state": "KY",
            "postal_code": "410182838",
            "telephone_number": "859-342-8775",
            "fax_number": "859-342-8701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODCREST MANOR, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-13",
        "last_updated": "2008-03-31",
        "status": "A",
        "authorized_official_last_name": "MAASSEN",
        "authorized_official_first_name": "DONNA",
        "authorized_official_middle_name": "JO",
        "authorized_official_title_or_position": "DIRECTOR OF COMPLIANCE",
        "authorized_official_telephone_number": "414-908-8119"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "12504791",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Woodcrest Manor Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Aaron Curtis Vick, APRN
• Amy Marie Wenzel, APRN
• Elizabeth Marie Wesselman, DPT
• Jocelyn Yates Westerman, LPCC
• Demeko Wilson
• Woodcrest Operating Company LLC (Woodcrest Nursing and Rehabilitation Center)

• Skilled Nursing Facility in Elsmere, KY
• Providers in Elsmere, KY by specialty
• Skilled Nursing Facility in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 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.