Woodlands Extended Care Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

16490961 Issued in FL

Legal business name

WOODLANDS EXTENDED CARE INC

Doing business as

Woodlands Terrace Extended Care

Practice address

120 W Chipola Ave
Deland, FL 32720-7704

Phone

(386) 738-3433

Fax

(386) 740-8308

NPI assigned

Mar 16, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Donna J Marsh

Title

Bookkeeper

Phone

(386) 255-1054

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Woodlands Terrace Extended Care Doing business as

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

{
    "created_epoch": "1142467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335312000000",
    "number": "1851360242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 W CHIPOLA AVE",
            "city": "DELAND",
            "state": "FL",
            "postal_code": "327207704",
            "telephone_number": "386-738-3433",
            "fax_number": "386-740-8308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 W CHIPOLA AVE",
            "city": "DELAND",
            "state": "FL",
            "postal_code": "327207704",
            "telephone_number": "386-738-3433",
            "fax_number": "386-740-8308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODLANDS EXTENDED CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-16",
        "last_updated": "2012-04-25",
        "status": "A",
        "authorized_official_last_name": "MARSH",
        "authorized_official_first_name": "DONNA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "BOOKKEEPER",
        "authorized_official_telephone_number": "386-255-1054",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "FL",
            "license": "16490961",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "021263600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Woodlands Terrace Extended Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Skilled Nursing Facility in Deland, FL
• Providers in Deland, 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 Apr 25, 2012; 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.