NPIMap

Organization Active NPI

Woodland Residential Services, Inc.

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Woodland, CA
National Provider Identifier
1922215896
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
Legal business name
WOODLAND RESIDENTIAL SERVICES, INC.
Practice address
1381 E Gum Ave
Woodland, CA 95776-4275
Phone
(530) 406-0333
NPI assigned
May 17, 2007
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
Mrs. Parminder Kajley
Title
Administrator
Phone
(530) 406-0333

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X CA Primary

Addresses

Primary practice location

1381 E Gum Ave
Woodland, CA 95776-4275

Mailing address

1381 E Gum Ave
Woodland, CA 95776-4275
Phone (530) 406-0333

Other names 1

  • Gum Program Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Intermediate care facility for individuals with intellectual disabilities certification: CCN 05G768

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
WRS INC GUM PROGRAM
Certification status
Active
Provider type (POS)
Intermediate care facility for individuals with intellectual disabilities
Participating since
Jun 28, 1994
Last certification
Nov 19, 2025
Beds
6
Ownership / control type
Private (proprietary)
Facility address
1381 Gum Avenue
Woodland, CA 95776

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
05D2167313Woodland Residential Services1381 Gum Avenue, Woodland, CA 95776Certificate of waiverJun 4, 2027

National Provider Directory

National Provider Directory
Tax ID family
Elliot Program7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

NPI Registry JSON

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1922215896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1381 E GUM AVE",
            "city": "WOODLAND",
            "state": "CA",
            "postal_code": "957764275",
            "telephone_number": "530-406-0333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1381 E GUM AVE",
            "city": "WOODLAND",
            "state": "CA",
            "postal_code": "957764275",
            "telephone_number": "530-406-0333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODLAND RESIDENTIAL SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KAJLEY",
        "authorized_official_first_name": "PARMINDER",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "530-406-0333",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gum Program",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Woodland, CA

Sources for this page

Verify at the official NPI Registry.