Arysa, LLC

Primary specialty

Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X

License

LTC60986 Issued in CA

Legal business name

ARYSA, LLC

Doing business as

Woodbridge Icf

Practice address

528 Indiana St
Woodbridge, CA 95258-9100

Phone

(209) 333-1327

Fax

(209) 339-1917

NPI assigned

May 5, 2008

Last updated

Feb 13, 2026By the provider in NPPES

Organization subpart

Yes

Parent organization

GABRIEL CARE HOME INCAs reported in NPPES

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

Authorized official

Name

Luz Mailoos, RN 512D55

Title

Owner/Licensee/Administrator

Phone

(209) 598-1186

Specialties & licenses 1

Addresses

Other names 1

• WOODBRIDGE ICF Doing business as

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1902072473. Details of each certification follow.

• CCN 55G408 Intermediate care facility for individuals with intellectual disabilities · Active · Name & address match · Details

Intermediate care facility for individuals with intellectual disabilities certification: CCN 55G408

Legal name

WOODBRIDGE ICF

Certification status

Active

Provider type (POS)

Intermediate care facility for individuals with intellectual disabilities

Participating since

Dec 17, 2001

Last certification

Jan 22, 2025

Beds

6

Ownership / control type

Private (proprietary)

Facility address

528 Indiana Street
Woodbridge, CA 95258

Tax ID family

Arysa LLC5 organizations share this tax ID, including this one

Part of

Gabriel Care Home Inc

Other organizations with this tax ID 4

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

• Arysa LLC

  dba Alpine Icf

  • Intellectual Disabilities Intermediate Care Facility
  • Lodi, CA
  • NPI 1013183581
  NPD tax ID
• Arysa LLC

  dba Alpine Icf

  • Mental Illness Intermediate Care Facility
  • Lodi, CA
  • NPI 1528899820
  NPD tax ID
• Arysa, LLC

  dba Gabriel ICF

  • Intellectual Disabilities Intermediate Care Facility
  • Lodi, CA
  • NPI 1104976794
  NPD tax ID
• Arysa, LLC

  dba Sunshine ICF, DDN

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Lodi, CA
  • NPI 1437473063
  NPD tax ID

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

{
    "created_epoch": "1209945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770940800000",
    "number": "1902072473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3432 GRANITE CT",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952123406",
            "telephone_number": "209-598-1186",
            "fax_number": "415-624-1755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "528 INDIANA ST",
            "city": "WOODBRIDGE",
            "state": "CA",
            "postal_code": "952589100",
            "telephone_number": "209-333-1327",
            "fax_number": "209-339-1917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARYSA, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GABRIEL CARE HOME INC",
        "enumeration_date": "2008-05-05",
        "last_updated": "2026-02-13",
        "certification_date": "2026-02-13",
        "status": "A",
        "authorized_official_last_name": "MAILOOS",
        "authorized_official_first_name": "LUZ",
        "authorized_official_title_or_position": "OWNER/LICENSEE/ADMINISTRATOR",
        "authorized_official_telephone_number": "209-598-1186",
        "authorized_official_credential": "RN 512D55"
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "CA",
            "license": "LTC60986",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WOODBRIDGE ICF",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mariann Arney, M.A., LMFT
• Anna Chang
• E Medical Supplies Inc
• Frank Anthony Garcia, LMFT
• Frank Garcia, LMFT
• Lane Holiday Gehres, M.S., CCC-SLP

• Intellectual Disabilities Intermediate Care Facility in Woodbridge, CA
• Providers in Woodbridge, CA by specialty
• Intellectual Disabilities Intermediate Care Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.