Woodgate Place Alf

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

WOODGATE PLACE ALF

Practice address

2314 Hawthorne Dr
Clearwater, FL 33763-1511

Phone

(727) 797-9678

Fax

(727) 796-5282

NPI assigned

Aug 31, 2007

Organization subpart

No

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

Authorized official

Name

Miss Velma Waje Tizon

Title

Owner Administrator

Phone

(727) 797-9678

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1188518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188518400000",
    "number": "1932393097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2314 HAWTHORNE DR",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337631511",
            "telephone_number": "727-797-9678",
            "fax_number": "727-796-5282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2314 HAWTHORNE DR",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337631511",
            "telephone_number": "727-797-9678",
            "fax_number": "727-796-5282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODGATE PLACE ALF",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-31",
        "last_updated": "2007-08-31",
        "status": "A",
        "authorized_official_last_name": "TIZON",
        "authorized_official_first_name": "VELMA",
        "authorized_official_middle_name": "WAJE",
        "authorized_official_title_or_position": "OWNER ADMINISTRATOR",
        "authorized_official_telephone_number": "727-797-9678",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "FL",
            "license": null,
            "primary": true
        },
        {
            "code": "385HR2060X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
            "state": "FL",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samuel Anthony Wonsang, IDHS
• Wood Health Inc (neck, back, and beyond)
• Benjamin Dixon Wood, MS, LAT, ATC, PA-C
• Hannah Wood
• Teshanna Wood
• Alannah Woodham, APRN
• Amy Wooding, PA-C
• Camryn Woods
• John W Woodyard
• Lisa Ruth Woolfenden, PTA

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Clearwater, FL
• Providers in Clearwater, FL by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2007; 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.