Woodland Country Manor Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

4548 Issued in OH

Legal business name

WOODLAND COUNTRY MANOR INC

Doing business as

Woodland Country Manor Inc

Practice address

4166 Somerville Rd
Somerville, OH 45064

Phone

(513) 523-4449

Fax

(513) 523-7900

NPI assigned

Oct 27, 2006

Last updated

Jul 5, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Lori A Auer

Title

Administrator

Phone

(513) 523-4449

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Woodland Country Manor Inc Doing business as

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1982780680. Details of each certification follow.

• CCN 366109 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 366109

Legal name

WOODLAND COUNTRY MANOR INC

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Dec 6, 1996

Last certification

Jul 14, 2022

Beds

60

Ownership / control type

Corporation

Organization structure

CorporationProprietary

Enrollment address

4166 Somerville Rd
Somerville, OH 45064-9707

Nursing home name

WOODLAND COUNTRY MANOR INC

Listed as

Woodland Country Manor IncCCN 366109 · All quality measures

Overall star rating

4 of 5

Health inspections

4 of 5

Staffing

3 of 5

Quality measures

2 of 5

Type

Medicare and Medicaid

Ownership

For profit - Corporation

Certified

Dec 6, 1996

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

6054.3 residents per day on average

Processed by Care Compare on Aug 1, 2026.

Locations

All disclosed owners & managing parties 6

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• James W. Thomson, DO

  • Family Medicine Physician
  • Camden, OH
  • NPI 1710089800

  Adp of the SNF

  CMS ownership

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• James W. Thomson, DO

  • Family Medicine Physician
  • Camden, OH
  • NPI 1710089800
  NPD (past)

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• James W. Thomson, DO

  • Family Medicine Physician
  • Camden, OH
  • NPI 1710089800

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656979200000",
    "number": "1982780680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4166 SOMERVILLE RD",
            "city": "SOMERVILLE",
            "state": "OH",
            "postal_code": "45064",
            "telephone_number": "513-523-4449",
            "fax_number": "513-523-7900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4166 SOMERVILLE RD",
            "city": "SOMERVILLE",
            "state": "OH",
            "postal_code": "45064",
            "telephone_number": "513-523-4449",
            "fax_number": "513-523-7900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODLAND COUNTRY MANOR INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-27",
        "last_updated": "2022-07-05",
        "certification_date": "2022-07-05",
        "status": "A",
        "authorized_official_last_name": "AUER",
        "authorized_official_first_name": "LORI",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "513-523-4449",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OH",
            "license": "4548",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0161766",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Woodland Country Manor Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Patricia Poirier
• Terri Roberson, LPN
• Shawna Louise Roos, RN
• Tina Sims
• Melissa Vaughn
• Zachariah Zehler

• Skilled Nursing Facility in Somerville, OH
• Providers in Somerville, OH by specialty
• Skilled Nursing Facility in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• 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.