CHC -Woodstock Nursing & Rehab Center, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

10281755 Issued in GA

Legal business name

CHC -WOODSTOCK NURSING & REHAB CENTER, LLC

Doing business as

Woodstock Nursing and Rehabilitation Center

Practice address

105 Arnold Mill Rd
Woodstock, GA 30188-5027

Phone

(770) 926-0016

Fax

(977) 092-6096

NPI assigned

Jun 23, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Mitchell Starer

Title

Manager

Phone

(914) 390-4300

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Woodstock Nursing and Rehabilitation Center Doing business as

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

{
    "created_epoch": "1119484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395619200000",
    "number": "1588660682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 ARNOLD MILL RD",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301885027",
            "telephone_number": "770-926-0016",
            "fax_number": "770-926-0969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 ARNOLD MILL RD",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301885027",
            "telephone_number": "770-926-0016",
            "fax_number": "977-092-6096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHC -WOODSTOCK NURSING & REHAB CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-23",
        "last_updated": "2014-03-24",
        "status": "A",
        "authorized_official_last_name": "STARER",
        "authorized_official_first_name": "MITCHELL",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "914-390-4300",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "GA",
            "license": "10281755",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00171212A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Woodstock Nursing and Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kaelyn Chaney, RBT
• Ohkyoung Chang, DDS
• Jonathan David Chao, O.D.
• Tomas J Chao, PA
• Priyanka Chaudhari, MD
• Andrew Dean Chen, DMD
• Emily Y Chen, DDS
• Cherokee Center for Change Counseling, Inc.
• Cherokee Center for Change, Inc
• Cherokee Counseling and Psychological Asscociates

• Skilled Nursing Facility in Woodstock, GA
• Providers in Woodstock, GA by specialty
• Skilled Nursing Facility in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2014; 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.