NPIMap

Organization Active NPI

Woodland Residential Services

  • Nursing Facility/Intermediate Care Facility
  • Woodland, CA
National Provider Identifier
1730348764
Registry record updated Jul 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X
License
550000698 Issued in CA
Legal business name
WOODLAND RESIDENTIAL SERVICES
Practice address
40145 Best Ranch Road
Woodland, CA 95776
Phone
(530) 661-9030
NPI assigned
Jun 5, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2008

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

Authorized official

Name
Parminder Kajley
Title
Administrator
Phone
(916) 835-8269

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility/Intermediate Care Facility 313M00000X 550000698 CA Primary

Addresses

Primary practice location

40145 Best Ranch Road
Woodland, CA 95776

Mailing address

1381 E Gum Ave
Woodland, CA 95776-4275
Phone (530) 419-0059

Other identifiers 1

IdentifierTypeStateIssuer
LTC80288GMedicaidCA

Other names 1

  • Happy Ranch Program Other name

National Provider Directory

National Provider Directory
Tax ID family
Elliot Program7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

NPI Registry JSON

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

{
    "created_epoch": "1212624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216771200000",
    "number": "1730348764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1381 E GUM AVE",
            "city": "WOODLAND",
            "state": "CA",
            "postal_code": "957764275",
            "telephone_number": "530-419-0059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40145 BEST RANCH ROAD",
            "city": "WOODLAND",
            "state": "CA",
            "postal_code": "95776",
            "telephone_number": "530-661-9030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODLAND RESIDENTIAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-05",
        "last_updated": "2008-07-23",
        "status": "A",
        "authorized_official_last_name": "KAJLEY",
        "authorized_official_first_name": "PARMINDER",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "916-835-8269"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "CA",
            "license": "550000698",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "LTC80288G",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Happy Ranch Program",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Woodland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2008; 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.