Woodville a.L. Home LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

WOODVILLE A.L. HOME LLC

Doing business as

The Orchard Assisted Living

Practice address

805 W Dogwood St
Woodville, TX 75979-4700

Phone

(409) 283-5678

NPI assigned

Sep 21, 2017

Organization subpart

No

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

Authorized official

Name

Loree Tamayo

Title

Ceo

Phone

(210) 326-6662

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• The Orchard Assisted Living Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1505952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1629587704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18843 REDLAND RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782593562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 W DOGWOOD ST",
            "city": "WOODVILLE",
            "state": "TX",
            "postal_code": "759794700",
            "telephone_number": "409-283-5678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODVILLE A.L. HOME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-21",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "TAMAYO",
        "authorized_official_first_name": "LOREE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "210-326-6662"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ASSISTED LIVING LICENSE",
            "identifier": "146340",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Orchard Assisted Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Steven Brookes Wesley, OT
• Marcella Marie Wiggins, ME.D., LPC
• Allen C. Williamson Jr., D.O.
• Cheri Woodard, OT
• Woodsville Dentistry PLLC (All Needz Dental)
• Woodville Dialysis Center LLP
• Woodville Eyecare PLLC
• Woodville Health Care Center LTD. Co (Woodville Health and Rehab Center)
• Woodville I Enterprises, LLC (The Orchard)
• Woodville II Enterprises, LLC (Dogwood Trails Manor)

• Assisted Living Facility in Woodville, TX
• Providers in Woodville, TX by specialty
• Assisted Living Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.