Woodland Homes Day Program,LLC.

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

License

ADC000148 Issued in GA

Legal business name

WOODLAND HOMES DAY PROGRAM,LLC.

Doing business as

Papa & Nana's Adult Day Center

Practice address

1212 N Jefferson St NE
Milledgeville, GA 31061-2532

Phone

(478) 251-5643

Fax

(478) 932-5817

NPI assigned

Apr 12, 2017

Organization subpart

No

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

Authorized official

Name

Ms. Cynthia Maxine Williams

Title

Owner/Director

Phone

(478) 251-5643

Specialties & licenses 1

Addresses

Other names 1

• Papa & Nana's Adult Day Center Doing business as

Locations

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

{
    "created_epoch": "1491955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491955200000",
    "number": "1891229241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1718",
            "city": "HARDWICK",
            "state": "GA",
            "postal_code": "310341718",
            "telephone_number": "478-251-5643",
            "fax_number": "478-932-5817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1212 N JEFFERSON ST NE",
            "city": "MILLEDGEVILLE",
            "state": "GA",
            "postal_code": "310612532",
            "telephone_number": "478-251-5643",
            "fax_number": "478-932-5817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODLAND HOMES DAY PROGRAM,LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-12",
        "last_updated": "2017-04-12",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "MAXINE",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "478-251-5643",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "GA",
            "license": "ADC000148",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Papa & Nana's Adult Day Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Marina Womack, BCBA
• Michael Demetrice Womble, LPC
• Allyson Courtney Wood, M.P.T.
• Elizabeth T Wood, LPC
• Carla Elizabeth Woodall
• Wylene Satcher Worthen, REGISTERED NURSE
• Carmen Hobbs Wright
• John Wallace Wright, D.P.M.,P.C.
• Braelyn Paige Yates
• Kristin Karae' Young

• Adult Day Care Clinic/Center in Milledgeville, GA
• Providers in Milledgeville, GA by specialty
• Adult Day Care Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 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.