Woodworth Enterprises, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

N050003 Issued in KS

Legal business name

WOODWORTH ENTERPRISES, INC.

Doing business as

Elmhaven West

Practice address

1315 S 15TH St
Parsons, KS 67357-5127

Phone

(620) 421-1320

Fax

(620) 421-2975

NPI assigned

Aug 19, 2005

Organization subpart

Yes

Parent organization

WOODWORTH ENTERPRISES, INC.As reported in NPPES

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

Authorized official

Name

Mr. Brad Woodworth

Title

General Manager

Phone

(620) 421-2431

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Elmhaven West Doing business as

Part of

Elmhaven West

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Woodworth Enterprises, Inc.

  dba Elmhaven East

  • Skilled Nursing Facility
  • Parsons, KS
  • NPI 1487657581

  Member Of

  NPD member

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

{
    "created_epoch": "1124409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411948800000",
    "number": "1740272244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1217 S 15TH ST",
            "city": "PARSONS",
            "state": "KS",
            "postal_code": "673575125",
            "telephone_number": "620-421-2431",
            "fax_number": "620-423-3432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1315 S 15TH ST",
            "city": "PARSONS",
            "state": "KS",
            "postal_code": "673575127",
            "telephone_number": "620-421-1320",
            "fax_number": "620-421-2975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODWORTH ENTERPRISES, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WOODWORTH ENTERPRISES, INC.",
        "enumeration_date": "2005-08-19",
        "last_updated": "2014-09-29",
        "status": "A",
        "authorized_official_last_name": "WOODWORTH",
        "authorized_official_first_name": "BRAD",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "620-421-2431",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "KS",
            "license": "N050003",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRADING PARTNER",
            "identifier": "0002346",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100109820A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elmhaven West",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Miranda D Wolverton, LMSW
• Joe B Wommack, DDS
• Woodridge Estates, L.L.C.
• Woodworth Community Services, L.L.C.
• Woodworth Enterprises, Inc. (Elmhaven East)
• Gary Yarbrough, MD
• Alisha Young
• Kaitlyn Leann Young
• Deja Zwahlen

• Skilled Nursing Facility in Parsons, KS
• Providers in Parsons, KS by specialty
• Skilled Nursing Facility in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2014; 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.