Woodland Springs Nursing Center Inc

Primary specialty

Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X

License

114176 Issued in TX

Legal business name

WOODLAND SPRINGS NURSING CENTER INC

Doing business as

Eventide Nursing Home

Practice address

1405 W Storey St
San Saba, TX 76877-6422

Phone

(254) 372-5112

Fax

(254) 372-5114

NPI assigned

Sep 12, 2005

Organization subpart

No

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

Authorized official

Name

Michael Jay Bumpass, LNHA

Title

Administrator

Phone

(254) 399-6788

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Eventide Nursing Home Doing business as

Locations

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

{
    "created_epoch": "1126483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231200000000",
    "number": "1750376273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 W HIGHWAY 6",
            "address_2": "SUITE 509",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767127923",
            "telephone_number": "254-399-6788",
            "fax_number": "254-399-6766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1405 W STOREY ST",
            "city": "SAN SABA",
            "state": "TX",
            "postal_code": "768776422",
            "telephone_number": "254-372-5112",
            "fax_number": "254-372-5114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODLAND SPRINGS NURSING CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-12",
        "last_updated": "2009-01-06",
        "status": "A",
        "authorized_official_last_name": "BUMPASS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "JAY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "254-399-6788",
        "authorized_official_credential": "LNHA"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "TX",
            "license": "114176",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "140720701",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eventide Nursing Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Stephen Swartz
• Paula Lisa Theodosis, RN, FNP-BC
• Lyshawn Thompson Brown, COTA
• West Wharton County Hospital District (San Saba Nursing & Rehabilitation)
• Craig D Whiting, DO

• Nursing Facility/Intermediate Care Facility in San Saba, TX
• Providers in San Saba, TX by specialty
• Nursing Facility/Intermediate Care Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2009; 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.