Woodgate SNF Realty LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

WOODGATE SNF REALTY LLC

Practice address

6500 Horizon Cir
Waco, TX 76712-6985

Phone

(254) 741-5929

Fax

(254) 741-5928

NPI assigned

Nov 29, 2017

Organization subpart

No

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

Authorized official

Name

Jack Cook

Title

Member

Phone

(254) 741-5929

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1511913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1511913600000",
    "number": "1790299659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6500 HORIZON CIR",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767126985",
            "telephone_number": "254-741-5929",
            "fax_number": "254-741-5928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6500 HORIZON CIR",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767126985",
            "telephone_number": "254-741-5929",
            "fax_number": "254-741-5928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODGATE SNF REALTY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-29",
        "last_updated": "2017-11-29",
        "status": "A",
        "authorized_official_last_name": "COOK",
        "authorized_official_first_name": "JACK",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "254-741-5929"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emma Jane Wood, PSYD
• Larry Keith Wood, M.D.
• Lauren Woodard, RBT
• Rachel Woodfin Taylor, LCSW
• Woodgate Senior Care LLC
• Woodland Springs Healthcare LP
• Kimberly R Woodliff, AG-ACNP, BC
• Natalie Evans Woodman, LPC
• Terriawkia A Woods-Campbell, MD
• Autumn Woods

• Skilled Nursing Facility in Waco, TX
• Providers in Waco, TX by specialty
• Skilled Nursing Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2017; 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.