Organization Active NPI

Woodside Operations, LLC

Doing business as Woodside Health and Rehabilitation Center

  • Skilled Nursing Facility
  • Naples, FL
National Provider Identifier
1427763853
Registry record updated Jan 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
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, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2023

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)CodeLicenseStatePrimary
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 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
LLCProprietary
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 CenterCCN 105421 · All quality measures
Overall star rating
1 of 5
Health inspections
1 of 5
Staffing
2 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Oct 22, 1982
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
120113.3 residents per day on average
Abuse citation
Cited for abuse (Care Compare abuse icon)
Penalties (3 years)
1Fines totaling $56,166

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D0294765Woodside Operations, LLC3601 Lakewood Blvd, Naples, FL 34112Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Networks

  • Freedom Health HMO NetworkPlans: Freedom Platinum Rewards Plan Rx (HMO) (H5427-102-000, H5427); Freedom VIP Care (HMO C-SNP) (H5427-070-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-108-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-099-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-107-000, H5427); Freedom Máximo (HMO-POS) (H5427-113-000, H5427); Freedom Savings Plan (HMO) (H5427-052-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-096-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-105-000, H5427); Freedom Medi-Medi Full (HMO D-SNP) (H5427-087-000, H5427)…
  • Optimum HealthCare HMO NetworkPlans: Optimum Diamond Rewards (HMO C-SNP) (H5594-028-000, H5594); Optimum Diamond (HMO C-SNP) (H5594-036-000, H5594); Optimum Diamond Rewards (HMO C-SNP) (H5594-034-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-029-000, H5594); Optimum Platinum Plan (HMO) (H5594-002-000, H5594); Optimum Gold Plus Plan (HMO) (H5594-032-000, H5594); Optimum Diamond Savings COPD (HMO C-SNP) (H5594-031-000, H5594); Optimum Diamond Savings (HMO C-SNP) (H5594-030-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-035-000, H5594)

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.

NameRoleSinceShare
Tammy Jean Nordine Individual Operational/Managerial Control Jul 16, 2024
Vincent Petrosini Individual Operational/Managerial Control Dec 9, 2024
Adp of the SNF Dec 9, 2025
Aston Healthcare LLC Organization, Brooklyn, NY LLC, Consulting firm, For-profit Adp of the SNF May 5, 2023
Woodside Rehab Holdings LLC Organization, Tampa, FL Created for acquisition, LLC, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Jan 4, 2023 100%
Paige Elaine Wallace Individual Operational/Managerial Control Jul 8, 2025
LF Woodside Trust Organization, Miami, FL 5% Or Greater Indirect Ownership Interest May 5, 2023 50%
Donna Wildes Individual Corporate OfficerCeo Aug 28, 2025
Operational/Managerial Control Aug 28, 2025
Adp of the SNF Aug 28, 2025
Ricardo a. Alonso Individual Operational/Managerial Control Aug 15, 2025
Adp of the SNF Dec 9, 2025
BP Birchwood Trust Organization, Miami, FL Created for acquisition 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.

Facilities with the same owner 1

Facilities that share an organizational owner with 5% or greater ownership or operational control.

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

Verify at the official NPI Registry.