Watson Woods Healthcare, Inc.

Primary specialty

Comprehensive Outpatient Rehabilitation Facility (CORF)Taxonomy code 261QR0401X

License

OTC7208 Issued in AZ

Legal business name

WATSON WOODS HEALTHCARE, INC.

Practice address

1045 Scott Dr
Prescott, AZ 86301-1731

Phone

(928) 778-9603

Fax

(928) 778-5909

NPI assigned

Sep 4, 2015

Organization subpart

No

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

Authorized official

Name

Soon Burnam

Title

Treasurer

Phone

(949) 540-1249

Specialties & licenses 1

Addresses

Other names 1

• Granite Creek Health and Rehabilitation Center Doing business as

Tax ID family

Esolutions Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Watson Woods Healthcare, Inc.

  • Skilled Nursing Facility
  • Prescott, AZ
  • NPI 1548640840
  NPD tax ID

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

{
    "created_epoch": "1441324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441324800000",
    "number": "1881062065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1045 SCOTT DR",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863011731",
            "telephone_number": "928-778-9603",
            "fax_number": "928-778-5909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1045 SCOTT DR",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863011731",
            "telephone_number": "928-778-9603",
            "fax_number": "928-778-5909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WATSON WOODS HEALTHCARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-04",
        "last_updated": "2015-09-04",
        "status": "A",
        "authorized_official_last_name": "BURNAM",
        "authorized_official_first_name": "SOON",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "949-540-1249"
    },
    "taxonomies": [
        {
            "code": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "state": "AZ",
            "license": "OTC7208",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Granite Creek Health and Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kent W Ward, DO
• Erin R Warne, PT
• Trista Faith Wasil, LMT
• Daniel Barack Wasserman, PH.D.
• Watson Woods Healthcare, Inc.
• Patricia L. Watson, PH.D.
• Wayne a Bennett
• Bruce A. Weary, DC
• Kristine A Weaver-Miller, PA
• Morgan Weaver, PA-C

• All providers in Prescott, AZ
• Comprehensive Outpatient Rehabilitation Facility (CORF) in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 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.