Wood Dale Home Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

329922 Issued in MN

Legal business name

WOOD DALE HOME INC

Practice address

600 Sunrise Blvd
Redwood Falls, MN 56283-1863

Phone

(507) 637-3587

Fax

(507) 637-2546

NPI assigned

Jan 4, 2006

Last updated

Aug 22, 2020By 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

Mrs. Judith A Sandmann

Title

Administrator

Phone

(507) 637-3587

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1136332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1467430066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 SUNRISE BLVD",
            "city": "REDWOOD FALLS",
            "state": "MN",
            "postal_code": "562831863",
            "telephone_number": "507-637-3587",
            "fax_number": "507-637-2546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 SUNRISE BLVD",
            "city": "REDWOOD FALLS",
            "state": "MN",
            "postal_code": "562831863",
            "telephone_number": "507-637-3587",
            "fax_number": "507-637-2546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOOD DALE HOME INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SANDMANN",
        "authorized_official_first_name": "JUDITH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "507-637-3587",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MN",
            "license": "329922",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "87461W0",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Total Renal Care Inc (Redwood Falls Dialysis)
• Tabitha Towery
• Walmart Inc. (Walmart Pharmacy 10-1865)
• Georgianna Helen Whiteley, MD
• Anglea Marie Wilson, OTR/L
• Wood Dale Home Operating LLC

• Skilled Nursing Facility in Redwood Falls, MN
• Providers in Redwood Falls, MN by specialty
• Skilled Nursing Facility in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.