Woodhaven

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

WOODHAVEN

Practice address

1405 Hathman PL
Columbia, MO 65201-5552

Phone

(573) 876-7302

NPI assigned

Apr 12, 2007

Last updated

Jun 19, 2024By 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

Dr. Joy Sweeney

Title

Ceo

Phone

(573) 876-7313

Specialties & licenses 2

Addresses

Tax ID family

Nba Woodhaven2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Woodhaven Learning Center

  dba Nba Woodhaven

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Columbia, MO
  • NPI 1558437632
  NPD tax ID

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718755200000",
    "number": "1629292644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1405 HATHMAN PL",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652015552",
            "telephone_number": "573-876-7302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1405 HATHMAN PL",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652015552",
            "telephone_number": "573-876-7302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODHAVEN",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-12",
        "last_updated": "2024-06-19",
        "certification_date": "2024-06-19",
        "status": "A",
        "authorized_official_last_name": "SWEENEY",
        "authorized_official_first_name": "JOY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "573-876-7313",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "MO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Jared Wood, CRNA
• Hayley Christine Woodall, MSW
• Kirby Alyson Woodall, MD
• David Reinhardt Woodard, MD
• Timothy W Woodard, M.D.
• Woodhaven Learning Center (Nba Woodhaven)
• Brenda L Woods, D.O.
• Christine Woods, LCSW
• Stephanie Marie Woods, RRT
• William L Woods, M.D.

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Columbia, MO
• Providers in Columbia, MO by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2024; 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.