Active NPI
Woodside Operations, LLC
Doing business as Woodside Health and Rehabilitation Center
- Skilled Nursing Facility
- Naples, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- WOODSIDE OPERATIONS, LLC
- Doing business as
- Woodside Health and Rehabilitation Center
- Practice address
- 3601 Lakewood Blvd
Naples, FL 34112-6145 - Phone
- (239) 775-7757
- NPI assigned
- Jan 19, 2023
- Last updated
- Jan 19, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tricia Thacker
- Title
- Authorized Official
- Phone
- (813) 558-6608
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
3601 Lakewood Blvd
Naples, FL 34112-6145
Mailing address
10150 Highland Manor Dr Ste 300
Tampa, FL 33610-9712
Other names 1
- Woodside Health and Rehabilitation Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20230627003455 | FL | Part A Provider - Skilled Nursing Facility | 6406214121 | Practice locations: Naples, FL |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1427763853. Details of each certification follow.
Skilled nursing facility certification: CCN 105421
- Legal name
- WOODSIDE OPERATIONS LLC
- Doing business as
- WOODSIDE HEALTH AND REHABILITATION CENTER
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF distinct part
- Participating since
- Oct 22, 1982
- Last certification
- May 16, 2025
- Beds
- 120
- Ownership / control type
- Limited Liability Corporation
- Multi-facility organization
- Ashton Healthcare, LLC
- Organization structure
- LLC
- Incorporated
- Jan 4, 2023 in DE
- Enrollment address
- 3601 Lakewood Blvd
Naples, FL 34112-6145 - Nursing home name
- WOODSIDE HEALTH AND REHABILITATION CENTER
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Woodside Health and Rehabilitation Center
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Oct 22, 1982
- Medicare certification status
- Active
- Certified beds
- 120
- Abuse citation
- Cited for abuse (Care Compare abuse icon)
- Penalties (3 years)
- 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D0294765 | Woodside Operations, LLC | Certificate of waiver | Aug 31, 2026 |
National Provider Directory
National Provider DirectoryNetworks
- Freedom Health HMO Network
- Optimum HealthCare HMO Network
Ownership & related parties
All disclosed owners & managing parties 9
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Tammy Jean Nordine | Operational/Managerial Control | Jul 16, 2024 | |
| Vincent Petrosini | Operational/Managerial Control | Dec 9, 2024 | |
| Adp of the SNF | Dec 9, 2025 | ||
| Aston Healthcare LLC | Adp of the SNF | May 5, 2023 | |
| Woodside Rehab Holdings LLC | 5% Or Greater Direct Ownership Interest | Jan 4, 2023 | 100% |
| Paige Elaine Wallace | Operational/Managerial Control | Jul 8, 2025 | |
| LF Woodside Trust | 5% Or Greater Indirect Ownership Interest | May 5, 2023 | 50% |
| Donna Wildes | Corporate Officer | Aug 28, 2025 | |
| Operational/Managerial Control | Aug 28, 2025 | ||
| Adp of the SNF | Aug 28, 2025 | ||
| Ricardo a. Alonso | Operational/Managerial Control | Aug 15, 2025 | |
| Adp of the SNF | Dec 9, 2025 | ||
| BP Birchwood Trust | 5% Or Greater Indirect Ownership Interest | May 5, 2023 | 50% |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Family Medicine Physician
- Naples, FL
- NPI 1548623242
Adp of the SNF, Operational/Managerial Control
Facilities with the same owner 1
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
dba Birchwood Health and Rehabilitation Center
- Skilled Nursing Facility
- Sarasota, FL
- NPI 1053026310
BP Birchwood Trust
Practitioners & affiliated clinicians
Affiliated clinicians 4
Clinicians who list this facility as an affiliation in Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1674086400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1674086400000",
"number": "1427763853",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10150 HIGHLAND MANOR DR STE 300",
"city": "TAMPA",
"state": "FL",
"postal_code": "336109712"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3601 LAKEWOOD BLVD",
"city": "NAPLES",
"state": "FL",
"postal_code": "341126145",
"telephone_number": "239-775-7757"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WOODSIDE OPERATIONS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-01-19",
"last_updated": "2023-01-19",
"certification_date": "2023-01-19",
"status": "A",
"authorized_official_last_name": "THACKER",
"authorized_official_first_name": "TRICIA",
"authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
"authorized_official_telephone_number": "813-558-6608"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Woodside Health and Rehabilitation Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Naples, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- 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.