The Woodlands of Fremont LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

THE WOODLANDS OF FREMONT LLC

Practice address

805 S Buchanan St
Fremont, OH 43420-4992

Phone

(502) 536-3468

NPI assigned

Nov 24, 2025

Last updated

Nov 24, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Cornelius Van Der Velde Jr.

Title

Owner

Phone

(502) 536-3468

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1763942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763942400000",
    "number": "1811858269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2418 FRYER PT",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333052723",
            "telephone_number": "502-536-3468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 S BUCHANAN ST",
            "city": "FREMONT",
            "state": "OH",
            "postal_code": "434204992",
            "telephone_number": "502-536-3468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE WOODLANDS OF FREMONT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-24",
        "last_updated": "2025-11-24",
        "certification_date": "2025-11-24",
        "status": "A",
        "authorized_official_last_name": "VAN DER VELDE",
        "authorized_official_first_name": "CORNELIUS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "502-536-3468",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2025; 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.