NPIMap

Organization Active NPI

USA Healthcare Woodland Village LLC

  • Skilled Nursing Facility
  • Cullman, AL
National Provider Identifier
1811993181
Registry record updated Feb 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
10508 Issued in AL
Legal business name
USA HEALTHCARE WOODLAND VILLAGE LLC
Practice address
1900 Olive St SW
Cullman, AL 35055-7202
Phone
(256) 739-1430
Fax
(256) 735-0708
NPI assigned
Jun 22, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2022

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

Authorized official

Name
Mrs. Emily Holcomb
Title
Administrator
Phone
(256) 739-1430

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 10508 AL Primary

Addresses

Primary practice location

1900 Olive St SW
Cullman, AL 35055-7202

Mailing address

1900 Olive St SW
Cullman, AL 35055-7202
Phone (256) 739-1430

Other identifiers 2

IdentifierTypeStateIssuer
4757750SMedicaidAL
010613OtherALBCBS PROVIDER NUMBER

Other names 1

  • Woodland Village Rehabilitation and Healthcare Center Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1119398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644883200000",
    "number": "1811993181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 OLIVE ST SW",
            "city": "CULLMAN",
            "state": "AL",
            "postal_code": "350557202",
            "telephone_number": "256-739-1430",
            "fax_number": "256-735-0708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 OLIVE ST SW",
            "city": "CULLMAN",
            "state": "AL",
            "postal_code": "350557202",
            "telephone_number": "256-739-1430",
            "fax_number": "256-735-0708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "USA HEALTHCARE WOODLAND VILLAGE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-22",
        "last_updated": "2022-02-15",
        "certification_date": "2022-02-15",
        "status": "A",
        "authorized_official_last_name": "HOLCOMB",
        "authorized_official_first_name": "EMILY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "256-739-1430",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "AL",
            "license": "10508",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4757750S",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "010613",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Woodland Village Rehabilitation and Healthcare Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Woodland Village Rehabilitation and Healthcare Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cullman, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2022; 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.