WOODLAND ASSISTED LIVING (NPI# 1295959534) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295959534 |
| Entity Type | Organization |
| Organization Name | WOODLAND ASSISTED LIVING |
| Practice Address |
310 4th St Woodland WA 98674-8488 |
| Mailing Address |
Po Box 69 Woodland WA 98674-0100 |
| Practice Telephone | 3602259443 |
| Mailing Telephone | 3602259443 |
| Mailing Fax Number | 3602253703 |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. BRANDON G KASER (ADMINISTRATOR) |
| Authorized Official Telephone | 3602259443 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | BH 1028 | WA | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 094722 | 05 |
| Street Address |
310 4TH ST |
| City | WOODLAND |
| State | WA |
| Zip Code | 98674-8488 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700258696 | Carolyn Defoe | Physical Therapy Assistant | 310 4th St, Woodland, WA 98674-8488 | 2015-10-30 |
| 1326444605 | Lia Kent | Speech-Language Pathologist | 310 4th St, Woodland, WA 98674-8488 | 2014-11-13 |
| 1053732230 | Emily Long | Physical Therapy Assistant | 310 4th St, Woodland, WA 98674-8488 | 2013-12-14 |
| 1932530730 | Andrew Nuckolls | Physical Therapy Assistant | 310 4th St, Woodland, WA 98674-8488 | 2013-12-03 |
| 1548699101 | Joanne Przygoda | Physical Therapist | 310 4th St, Woodland, WA 98674-8488 | 2013-11-04 |
| 1548693153 | Cidalia Billie Joe Riker | Physical Therapy Assistant | 310 4th St, Woodland, WA 98674-8488 | 2013-08-19 |
| 1780022384 | Morgan Glenn Vaughn | Speech-Language Pathologist | 310 4th St, Woodland, WA 98674-8488 | 2013-06-05 |
| 1972869303 | Malgorzata Snoey | Physical Therapist | 310 4th St, Woodland, WA 98674-8488 | 2012-04-10 |
| 1063651545 | Erin Louise Rothwell | Occupational Therapist | 310 4th St, Woodland, WA 98674-8488 | 2009-02-06 |
| 1184811010 | Sandra D Rojas | Speech-Language Pathologist | 310 4th St, Woodland, WA 98674-8488 | 2007-09-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790328409 | Susan E Van Skike | Social Worker | 38503 Nw Goose Hill Avenue, Woodland, WA 98674 | 2019-10-25 |
| 1336599323 | Erin Hutchinson | Counselor | 1251 Lewis River Road, Ste. A, Woodland, WA 98674 | 2016-06-21 |
| 1972977577 | Kelsey Ann Miller | Speech-Language Pathologist | 800 Second Street Wsd Special Service, Woodland, WA 98674 | 2015-11-19 |
| 1598194482 | Elizabeth Grendahl | Massage Therapist | 1227-h North Goerig, Woodland, WA 98674 | 2013-11-01 |
| 1417258674 | Safeway Pharmacy | Pharmacy | Safeway 1725 Pacific Avenue, Woodland, WA 98674 | 2010-11-04 |
| 1538370267 | Tiffany Marie Rose | Massage Therapist | 38803 Ne 2nd Ave, Lacenter, WA 98674 | 2007-05-24 |
| 1417161555 | Jack L Vandyke | Dentist | 640 Georig St, Woodland, WA 98674 | 2007-05-09 |
| 1619934007 | Pearson Medical Clinic Pllc | Internal Medicine | 527 2nd Street, Woodland, WA 98674 | 2006-04-28 |
| 1083914733 | Wal-mart Stores Inc | Technician/Technologist | 1486 Dike Access Rd, Woodland, VA 98674 | 2010-10-28 |
| 1710018213 | Tammy Wallace | Specialist | 1227 Goerig Rd, Ste H, Woodland, WA 98674 | 2007-03-08 |
| Find all providers in zip 98674 | ||||
| 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 |
|---|---|---|---|---|
| 1114386745 | St. John's Retirement Village, Inc. | Assisted Living Facility | 135 Woodland Ave, Woodland, CA 95695-2701 | 2016-02-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215537485 | All Saints Adult Family Home, LLC | Assisted Living Facility | 1413 12th St Ne, Auburn, WA 98002-3533 | 2020-10-27 |
| 1245844497 | Bremerton Mc Operations, LLC | Assisted Living Facility | 3510 9th St, Bremerton, WA 98312-3544 | 2020-09-04 |
| 1104434547 | Sunrise Senior Living Management Inc | Assisted Living Facility | 23599 Se Issaquah Fall City Rd, Issaquah, WA 98029-9265 | 2020-07-22 |
| 1174131999 | Longhouse Bothell LLC | Assisted Living Facility | 16605 122nd Pl Ne, Bothell, WA 98011-7114 | 2020-07-17 |
| 1447878913 | Northwest Hc Columbia Heights Wa Operator Nt-hci LLC | Assisted Living Facility | 1550 Cherry St, Wenatchee, WA 98801-6253 | 2020-07-10 |
| 1881212355 | Northwest Hc Seaport Landing Wa Operator Nt-hci LLC | Assisted Living Facility | 1201 Hancock St, Port Townsend, WA 98368-8513 | 2020-07-10 |
| 1568089472 | Living Court Ventures, L.L.C. | Assisted Living Facility | 2229 Jensen St, Enumclaw, WA 98022-3639 | 2020-06-26 |
| 1154948065 | Sullivan Cottages, L.L.C. | Assisted Living Facility | 411 S Adams Rd, Spokane Valley, WA 99216-2287 | 2020-06-26 |
| 1104443001 | Gig Harbor Ventures, L.L.C. | Assisted Living Facility | 3025 14th Ave Nw, Gig Harbor, WA 98335-1635 | 2020-06-26 |
| 1609493519 | Wenatchee Alf Ventures, L.L.C. | Assisted Living Facility | 601 Okanogan Ave, Wenatchee, WA 98801-6414 | 2020-06-26 |
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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.