Woodbine Convalescent & Nursing Care LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

NH2732 Issued in VA

Legal business name

WOODBINE CONVALESCENT & NURSING CARE LLC

Practice address

2729 King St
Alexandria, VA 22302-4008

Phone

(703) 836-8838

Fax

(703) 836-2965

NPI assigned

Oct 25, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Graham L Adelman

Title

President

Phone

(804) 521-0550

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Woodbine Rehabilitation & Healthcare LLC Doing business as

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1497830038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12093 GAYTON RD",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232383401",
            "telephone_number": "804-521-0550",
            "fax_number": "804-521-0555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2729 KING ST",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223024008",
            "telephone_number": "703-836-8838",
            "fax_number": "703-836-2965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODBINE CONVALESCENT & NURSING CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ADELMAN",
        "authorized_official_first_name": "GRAHAM",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "804-521-0550",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "VA",
            "license": "NH2732",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "GU8",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI/OCI PROVIDER NUMBER",
            "identifier": "312386",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Woodbine Rehabilitation & Healthcare LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Bryan D. Wood, D.D.S.
• Catherene Loutrail Wood, RN BC
• Jessica Wood
• Ryan Wood, NP
• Thomas Allen Wood, PSY.D
• Woodbine Operator LLC
• Ian Peter Woodbury, D.C.
• Sarah Woodford
• Woodlawn Family Dentistry, Inc
• Dana Stam Woods

• Skilled Nursing Facility in Alexandria, VA
• Providers in Alexandria, VA by specialty
• Skilled Nursing Facility in Virginia

• 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.