Woodman Enterprises, LLC

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

590F318 Issued in NY

Legal business name

WOODMAN ENTERPRISES, LLC

Doing business as

Woodman Adult Services

Practice address

14702 34TH Ave
Flushing, NY 11354-3735

Phone

(718) 461-1923

Fax

(718) 461-7617

NPI assigned

Jul 31, 2008

Last updated

Jul 31, 2008By 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

Mr. Gin Sin Wu

Title

Owner

Phone

(718) 461-1923

Specialties & licenses 1

Addresses

Other names 1

• Woodman Adult Services Doing business as

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

{
    "created_epoch": "1217462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217462400000",
    "number": "1558527374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14702 34TH AVE",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113543735",
            "telephone_number": "718-461-1923",
            "fax_number": "718-461-7617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14702 34TH AVE",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113543735",
            "telephone_number": "718-461-1923",
            "fax_number": "718-461-7617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODMAN ENTERPRISES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-31",
        "last_updated": "2008-07-31",
        "status": "A",
        "authorized_official_last_name": "WU",
        "authorized_official_first_name": "GIN SIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-461-1923",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "NY",
            "license": "590F318",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Woodman Adult Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Adult Care Home Facility in Flushing, NY
• Providers in Flushing, NY by specialty
• Adult Care Home Facility in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2008; 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.