Wood Violet Recovery LLC

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

WOOD VIOLET RECOVERY LLC

Practice address

3591 State Hwy 23
Dodgeville, WI 53533

Phone

(949) 988-0471

Fax

(949) 325-7818

NPI assigned

Feb 1, 2024

Organization subpart

No

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

Authorized official

Name

Stephen Vanhooser, MHA, CPHQ

Title

Director of Compliance

Phone

(949) 750-2014

Specialties & licenses 1

Addresses

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

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1706745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730678400000",
    "number": "1437912581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "DEPT#880745 PO BOX 29650",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850389650",
            "telephone_number": "949-988-0471",
            "fax_number": "949-325-7818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3591 STATE HWY 23",
            "city": "DODGEVILLE",
            "state": "WI",
            "postal_code": "53533",
            "telephone_number": "949-988-0471",
            "fax_number": "949-325-7818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOOD VIOLET RECOVERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-01",
        "last_updated": "2024-11-04",
        "certification_date": "2024-11-04",
        "status": "A",
        "authorized_official_last_name": "VANHOOSER",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "DIRECTOR OF COMPLIANCE",
        "authorized_official_telephone_number": "949-750-2014",
        "authorized_official_credential": "MHA, CPHQ"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tammy Lee Wilkinson, D.C.
• Matthew Michael Williams, MPT
• Carrie H Wilson, RN
• Jeffrey Scott Wilton, D.D.S.
• Michael Sterling Wolkomir, MD
• Logan Laufenberg Yeager, MD
• Nicholas Zuberbuhler, CRNA

• Substance Abuse Rehabilitation Facility in Dodgeville, WI
• Providers in Dodgeville, WI by specialty
• Substance Abuse Rehabilitation Facility in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.

Verify at the official NPI Registry.