Woodworth Enterprises, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

N050001 Issued in KS

Legal business name

WOODWORTH ENTERPRISES, INC.

Practice address

814 Walnut St
Chetopa, KS 67336-8990

Phone

(620) 236-7248

Fax

(620) 236-7919

NPI assigned

Jul 8, 2005

Organization subpart

Yes

Parent organization

WOODWORTH ENTERPRISES, INC.As reported in NPPES

Name

Mr. Brad Woodworth

Title

General Manager

Phone

(620) 421-2431

Organizations this organization is a member of, according to the National Provider Directory.

• Woodworth Enterprises, Inc.

  • Skilled Nursing Facility
  • Parsons, KS
  • NPI 1487657581

  Member Of

  NPD member

Part of

Elmhaven West

• CHETOPA MANOR Doing business as

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 10, 2012.

{
    "created_epoch": "1120780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344556800000",
    "number": "1508864059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1217 S 15TH ST",
            "city": "PARSONS",
            "state": "KS",
            "postal_code": "673575125",
            "telephone_number": "620-421-2431",
            "fax_number": "620-423-3432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "814 WALNUT ST",
            "city": "CHETOPA",
            "state": "KS",
            "postal_code": "673368990",
            "telephone_number": "620-236-7248",
            "fax_number": "620-236-7919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODWORTH ENTERPRISES, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WOODWORTH ENTERPRISES, INC.",
        "enumeration_date": "2005-07-08",
        "last_updated": "2012-08-10",
        "status": "A",
        "authorized_official_last_name": "WOODWORTH",
        "authorized_official_first_name": "BRAD",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "620-421-2431",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "KS",
            "license": "N050001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100109870A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CHETOPA MANOR",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kori Kay Ross, MS SLP
• S. W. Haag, P.C.
• S. W. Haag, P.C.
• Billy Eugene Scheer II
• Bonnie Wood

• All providers in Chetopa, KS
• Skilled Nursing Facility in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2012; 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.