Organization Active NPI

Woodway Healthcare, Inc.

  • Skilled Nursing Facility
  • Mission Viejo, CA
National Provider Identifier
1710368477
Registry record updated Jun 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
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

Updated by the provider on Jun 17, 2015

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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.