Active NPI
Woodland Grove NH LLC
- Skilled Nursing Facility
- Jacksonville, FL
National Provider Identifier
1912311747
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- WOODLAND GROVE NH LLC
- Doing business as
- Woodland Grove Health & Rehabilitation Center
- Practice address
- 4325 Southpoint Blvd
Jacksonville, FL 32216-6166 - Phone
- (904) 281-1946
- NPI assigned
- Jun 19, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Moshe Scheiner
- Title
- Ceo
- Phone
- (813) 557-6200
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
4325 Southpoint Blvd
Jacksonville, FL 32216-6166
Mailing address
4325 Southpoint Blvd
Jacksonville, FL 32216-6166
Phone (904) 281-1946
Other names 1
- Woodland Grove Health & Rehabilitation Center
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1403136000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1624752000000",
"number": "1912311747",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4325 SOUTHPOINT BLVD",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322166166",
"telephone_number": "904-281-1946"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4325 SOUTHPOINT BLVD",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322166166",
"telephone_number": "904-281-1946"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WOODLAND GROVE NH LLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-06-19",
"last_updated": "2021-06-27",
"certification_date": "2021-06-27",
"status": "A",
"authorized_official_last_name": "SCHEINER",
"authorized_official_first_name": "MOSHE",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "813-557-6200"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Woodland Grove Health & Rehabilitation Center",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Woodland Grove Health & Rehabilitation Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.