Woodgate Senior Care LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

WOODGATE SENIOR CARE LLC

Practice address

1700 Woodgate Dr
Waco, TX 76712-8600

Phone

(254) 741-5929

Fax

(254) 741-5928

NPI assigned

Dec 7, 2017

Organization subpart

No

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

Authorized official

Name

Jack Cook

Title

Member

Phone

(254) 741-5929

Specialties & licenses 1

Addresses

Other names 1

• Wesley Woods Doing business as

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

{
    "created_epoch": "1512604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1512604800000",
    "number": "1609381987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 23648",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767023648",
            "telephone_number": "254-741-5929",
            "fax_number": "254-741-5928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 WOODGATE DR",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767128600",
            "telephone_number": "254-741-5929",
            "fax_number": "254-741-5928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODGATE SENIOR CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-07",
        "last_updated": "2017-12-07",
        "status": "A",
        "authorized_official_last_name": "COOK",
        "authorized_official_first_name": "JACK",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "254-741-5929"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wesley Woods",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Demi Brooke Wood, PTA
• Emma Jane Wood, PSYD
• Larry Keith Wood, M.D.
• Lauren Woodard, RBT
• Rachel Woodfin Taylor, LCSW
• Woodgate SNF Realty LLC
• Woodland Springs Healthcare LP
• Kimberly R Woodliff, AG-ACNP, BC
• Natalie Evans Woodman, LPC
• Terriawkia A Woods-Campbell, MD

• Skilled Nursing Facility in Waco, TX
• Providers in Waco, TX by specialty
• Skilled Nursing Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2017; 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.