SENIOR CARE WOODLAND ELDERS, LLC (NPI# 1184880361) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184880361 |
| Entity Type | Organization |
| Organization Name | SENIOR CARE WOODLAND ELDERS, LLC |
| Other Organization Name | WOODBURY ESTATES |
| Practice Address |
2825 Woodlane Dr Woodbury MN 55125-2906 |
| Practice Telephone | 6517141000 |
| Mailing Telephone | 6517141000 |
| Enumeration Date | 2008-08-06 |
| Last Update Date | 2008-08-06 |
| Authorized Official Name | GREG BROWN (PRESIDENT/CFO) |
| Authorized Official Telephone | 9528882923 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Woodbury Estates | Doing Business As Name - Organization |
| Street Address |
2825 WOODLANE DR |
| City | WOODBURY |
| State | MN |
| Zip Code | 55125-2906 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871080564 | Wa Yang | Speech-Language Pathologist | 2825 Woodlane Dr, Woodbury, MN 55125-2906 | 2018-04-18 |
| 1346619723 | Stephanie Olson | Occupational Therapist | 2825 Woodlane Dr, Woodbury, MN 55125-2906 | 2015-09-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487268728 | Haley Kirkpatrick | Behavior Technician | 721 Commerce Dr., Woodbury, MN 55125 | 2020-09-03 |
| 1689218091 | Jordan Schmidt | Student in an Organized Health Care Education/Training Program | 1740 Welr Dr. #24, Woodbury, MN 55125 | 2019-10-30 |
| 1629619580 | Mackenzie Ann Funke | Occupational Therapist | 721 Commerce Drivve, Woodbury, MN 55125 | 2019-10-02 |
| 1700342029 | Darcy Stivland | Counselor | 1811 Weir Drive #270, Woodbury, MN 55125 | 2019-02-11 |
| 1235609884 | Elizabeth Kennedy Ward | Psychologist | 7582 Currell Blvd Suite 208, Woodbury, MN 55125 | 2018-11-27 |
| 1528573664 | Cory Lee Baumeister | Counselor | 652 Bielenberg Dr, Woodbury, MN 55125 | 2017-12-12 |
| 1760918239 | David James Knight | Dentist | 9950 Valley Creek Rd Ste 150, Woodbury, MN 55125 | 2017-05-03 |
| 1366988826 | Mark Your Home Health Care LLC | Home Health | 6053 Hudson Road, Suite 200, Woodbury, MN 55125 | 2017-01-09 |
| 1518415736 | Kubei Holdings Group LLC | Case Management | 6043 Hudson Rd Ste 340, Saint Paul, MN 55125 | 2016-09-16 |
| 1285087072 | Adrian Jung | Occupational Therapist | 155 Radio Drive, Woodbury, MN 55125 | 2016-07-18 |
| Find all providers in zip 55125 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821570219 | Woodbury Ops, LLC | Assisted Living Facility | 2195 Century Ave S, Woodbury, MN 55125-2943 | 2018-08-31 |
| 1437630910 | Prelude Homes & Services | Assisted Living Facility | 10020 Raleigh Rd, Woodbury, MN 55129-5004 | 2018-08-23 |
| 1942650619 | The Hendricks Group Inc. | Assisted Living Facility | 10025 Antrim Court, Woodbury, MN 55129 | 2016-06-14 |
| 1437578283 | The Hendricks Group Inc. | Assisted Living Facility | 3610 Mount Vernon Ln, Woodbury, MN 55129-9382 | 2014-04-09 |
| 1588088322 | Phs Woodbury, Inc | Assisted Living Facility | 8725 Promenade Ln, Woodbury, MN 55125-9622 | 2014-02-14 |
| 1760751440 | Sagewood LLC | Assisted Living Facility | 6281 Oakwood Rd, Woodbury, MN 55125-2020 | 2011-12-23 |
| 1568773455 | Premier Care of Woodbury | Assisted Living Facility | 280 Middle Road Tpke, Woodbury, CT 06798-3002 | 2010-06-25 |
| 1598907131 | The Hendricks Group Inc. | Assisted Living Facility | 1265 Belmont Dr, Woodbury, MN 55125-2381 | 2009-03-27 |
| 1902089923 | E& E Home Care, Inc | Assisted Living Facility | 11482 Balsam Way, Woodbury, MN 55129-6213 | 2007-12-13 |
| 1518156520 | Generations Health Assoc. Inc., Dba Generations of Woodbury | Assisted Living Facility | 667 Auburntown Rd, Woodbury, TN 37190-5224 | 2007-10-16 |
| Find all providers in WOODBURY | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.