Senior Care Woodbury, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

SENIOR CARE WOODBURY, LLC

Doing business as

Woodbury Villa

Practice address

7008 Lake Road
Woodbury, MN 55125-3824

Phone

(651) 731-5501

NPI assigned

Apr 13, 2007

Last updated

Apr 25, 2024By the provider in NPPES

Organization subpart

Yes

Parent organization

SENIOR CARE WOODBURY, LLCAs reported in NPPES

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

Authorized official

Name

Tricia Marie Lies

Title

Sr Director Revenue Cycle

Phone

(612) 286-1170

Specialties & licenses 1

Addresses

Other identifiers 4

Other names 1

• Woodbury Villa Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Part of

Senior Care Woodbury LLC

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Senior Care Woodbury, LLC

  dba Woodbury Villa

  • Skilled Nursing Facility
  • Saint Paul, MN
  • NPI 1427183961
  NPPES parent name

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

{
    "created_epoch": "1176422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714003200000",
    "number": "1760607097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7008 LAKE ROAD",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551253824",
            "telephone_number": "651-731-5501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7008 LAKE ROAD",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551253824",
            "telephone_number": "651-731-5501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENIOR CARE WOODBURY, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SENIOR CARE WOODBURY, LLC",
        "enumeration_date": "2007-04-13",
        "last_updated": "2024-04-25",
        "status": "A",
        "authorized_official_last_name": "LIES",
        "authorized_official_first_name": "TRICIA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "SR DIRECTOR REVENUE CYCLE",
        "authorized_official_telephone_number": "612-286-1170"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "4980442",
            "identifier": "4980442",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "796108100",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UCARE",
            "identifier": "131445",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHPARTNERS",
            "identifier": "115925",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Woodbury Villa",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Josephine Ann Sebion, RD
• Karen J. Sedivy, MD
• Sarah Seema, MA
• Sees the Day LTD (Pearle Vision)
• Alejandra Hannah Seghers
• Senior Care Woodland Elders, LLC (Woodbury Estates)
• Senseability Pathways LLC
• Deborah K Sepeta, PAC
• Faith Marie Seppi
• Brittney Serbus

• Assisted Living Facility in Woodbury, MN
• Providers in Woodbury, MN by specialty
• Assisted Living Facility in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.