Wildewood Downs Retirement LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

NCF-914 Issued in SC

Legal business name

WILDEWOOD DOWNS RETIREMENT LLC

Practice address

1001 Wildewood Downs Cir
Columbia, SC 29223-4434

Phone

(803) 788-5115

Fax

(803) 788-5247

NPI assigned

Aug 9, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Lauren Dawn Brown

Title

Reimbursement Ar Manager

Phone

(803) 788-5115

Specialties & licenses 1

Addresses

Other names 1

• Wildewood Downs Nursing and Rehabilitation Center Other name

Practitioners 1

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

• Tara Christine Henderson

  • Occupational Therapist
  • Columbia, SC
  • NPI 1245873751
  NPD (past)

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278979200000",
    "number": "1972513828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 WILDEWOOD DOWNS CIR",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292234434",
            "telephone_number": "803-788-5115",
            "fax_number": "803-788-5247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 WILDEWOOD DOWNS CIR",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292234434",
            "telephone_number": "803-788-5115",
            "fax_number": "803-788-5247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILDEWOOD DOWNS RETIREMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-09",
        "last_updated": "2010-07-13",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "LAUREN",
        "authorized_official_middle_name": "DAWN",
        "authorized_official_title_or_position": "REIMBURSEMENT AR MANAGER",
        "authorized_official_telephone_number": "803-788-5115",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "SC",
            "license": "NCF-914",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wildewood Downs Nursing and Rehabilitation Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Teresa M Wilberscheid, RDN, LD
• Sharalyn J Wilburn, WHNP
• Michael R Wildeboer Jr., RT
• Jordan Chrsitian Wilder I
• Lauren Nicole Wildes
• Wildewood Retirement LLC
• Anna Kathryn Wilds
• Marqeita Wilds, COSMETOLOGLY LICENSE
• Charles Henry Wile, MD
• Rachel Wiler, PA-C

• Skilled Nursing Facility in Columbia, SC
• Providers in Columbia, SC by specialty
• Skilled Nursing Facility in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2010; 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.