Active NPI
Woodway Healthcare, Inc.
- Skilled Nursing Facility
- Mission Viejo, CA
National Provider Identifier
1710368477
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- WOODWAY HEALTHCARE, INC.
- Practice address
- 27101 Puerta Real
Suite 450
Mission Viejo, CA 92691-8518 - Phone
- (254) 420-0056
- Fax
- (254) 420-0058
- NPI assigned
- Jun 17, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Soon Burnam
- Title
- Treasurer
- Phone
- (949) 487-9500
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | TX | ||
| Skilled Nursing Facility | 314000000X | TX | Primary |
Addresses
Primary practice location
27101 Puerta Real
Suite 450
Mission Viejo, CA 92691-8518
Mailing address
27101 Puerta Real
Suite 450
Mission Viejo, CA 92691-8518
Phone (254) 420-0056
Other names 1
- The Healthcare Resort of Waco
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1434499200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1434499200000",
"number": "1710368477",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27101 PUERTA REAL",
"address_2": "SUITE 450",
"city": "MISSION VIEJO",
"state": "CA",
"postal_code": "926918518",
"telephone_number": "254-420-0056",
"fax_number": "254-420-0058"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27101 PUERTA REAL",
"address_2": "SUITE 450",
"city": "MISSION VIEJO",
"state": "CA",
"postal_code": "926918518",
"telephone_number": "254-420-0056",
"fax_number": "254-420-0058"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WOODWAY HEALTHCARE, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2015-06-17",
"last_updated": "2015-06-17",
"status": "A",
"authorized_official_last_name": "BURNAM",
"authorized_official_first_name": "SOON",
"authorized_official_title_or_position": "TREASURER",
"authorized_official_telephone_number": "949-487-9500"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": "TX",
"license": null,
"primary": false
},
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "TX",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "The Healthcare Resort of Waco",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Mission Viejo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.