Organization Active NPI

Woodridge Estates, L.L.C.

  • Assisted Living Facility
  • Parsons, KS
National Provider Identifier
1912917956
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
N-050-011 Issued in KS
Legal business name
WOODRIDGE ESTATES, L.L.C.
Practice address
329 Kay LN
Parsons, KS 67357-3501
Phone
(620) 421-4700
Fax
(620) 421-2666
NPI assigned
Aug 9, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Donald R. Woodworth
Title
President Owner
Phone
(620) 421-2431

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X N-050-011 KS Primary

Addresses

Primary practice location

329 Kay LN
Parsons, KS 67357-3501

Mailing address

1217 S 15TH St
Parsons, KS 67357-5125
Phone (620) 421-4700

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
17D0982618Woodridge Estates LLC329 Kay Lane, Parsons, KS 67357Certificate of waiverJan 30, 2027

National Provider Directory

National Provider Directory

Locations

329 Kay Ln
Parsons, KS 67357
Phone (620) 421-2431

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1912917956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1217 S 15TH ST",
            "city": "PARSONS",
            "state": "KS",
            "postal_code": "673575125",
            "telephone_number": "620-421-4700",
            "fax_number": "620-423-3432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "329 KAY LN",
            "city": "PARSONS",
            "state": "KS",
            "postal_code": "673573501",
            "telephone_number": "620-421-4700",
            "fax_number": "620-421-2666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODRIDGE ESTATES, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WOODWORTH",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "PRESIDENT  OWNER",
        "authorized_official_telephone_number": "620-421-2431",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "KS",
            "license": "N-050-011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Parsons, KS

Sources for this page

  • 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.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.