Woodstock Care Center, Inc.

Primary specialty

Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X

License

4605 Issued in OH

Legal business name

WOODSTOCK CARE CENTER, INC.

Practice address

1649 Park Rd
Woodstock, OH 43084-9713

Phone

(937) 826-3351

Fax

(937) 826-6515

NPI assigned

Sep 21, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Anna Riley, LNHA

Title

Administrator

Phone

(937) 826-3351

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Spring Meadows Care Center Doing business as

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1891894465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1649 PARK RD",
            "city": "WOODSTOCK",
            "state": "OH",
            "postal_code": "430849713",
            "telephone_number": "937-826-3351",
            "fax_number": "937-826-5565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1649 PARK RD",
            "city": "WOODSTOCK",
            "state": "OH",
            "postal_code": "430849713",
            "telephone_number": "937-826-3351",
            "fax_number": "937-826-6515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODSTOCK CARE CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RILEY",
        "authorized_official_first_name": "ANNA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "937-826-3351",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LNHA"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "OH",
            "license": "4605",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0352149",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Spring Meadows Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Als Woodstock LLC
• Downsize Farm, LTD
• Spring Meadow Healthcare LLC
• Teresa Thornhill
• Woodstock Healthcare Group, Inc.
• Woodstock SNF Opco LLC

• All providers in Woodstock, OH
• Nursing Facility/Intermediate Care Facility in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.