Woodbridge Facility Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

SNF13320962 Issued in FL

Legal business name

WOODBRIDGE FACILITY INC

Practice address

8720 Jackson Springs Rd
Tampa, FL 33615-3210

Phone

(813) 341-5600

NPI assigned

May 4, 2015

Organization subpart

No

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

Authorized official

Name

Mr. Michael Bleich

Title

Authorized Representative

Phone

(845) 641-8314

Specialties & licenses 1

Addresses

Other names 1

• Woodbridge Care Center Doing business as

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

{
    "created_epoch": "1430697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430870400000",
    "number": "1780061390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4302 HOLLYWOOD BLVD",
            "address_2": "#369",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330216635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8720 JACKSON SPRINGS RD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336153210",
            "telephone_number": "813-341-5600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODBRIDGE FACILITY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-04",
        "last_updated": "2015-05-06",
        "status": "A",
        "authorized_official_last_name": "BLEICH",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "AUTHORIZED REPRESENTATIVE",
        "authorized_official_telephone_number": "845-641-8314",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "FL",
            "license": "SNF13320962",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Woodbridge Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alyssa Woodard, MD
• Caitlin Lockett Woodard, LMHC
• Gail Woodard, COTA
• Kyra Woodard
• Laurie Woodard, MD
• Woodbridge Nursing and Rehab LLC
• Mia Wooden-Williams
• Tara Woodill
• Corina P Wooding
• Michaelynn Diane Woodrow, OTR/L

• Skilled Nursing Facility in Tampa, FL
• Providers in Tampa, FL by specialty
• Skilled Nursing Facility in Florida

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