WOODLAND RESIDENTIAL SERVICES (NPI# 1730348764) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730348764 |
| Entity Type | Organization |
| Organization Name | WOODLAND RESIDENTIAL SERVICES |
| Other Organization Name | HAPPY RANCH PROGRAM |
| Practice Address |
40145 Best Ranch Road Woodland CA 95776 |
| Mailing Address |
1381 E Gum Ave Woodland CA 95776-4275 |
| Practice Telephone | 5306619030 |
| Mailing Telephone | 5304190059 |
| Enumeration Date | 2008-06-05 |
| Last Update Date | 2008-07-23 |
| Authorized Official Name | PARMINDER KAJLEY (ADMINISTRATOR) |
| Authorized Official Telephone | 9168358269 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 313M00000X | Nursing Facility/Intermediate Care Facility | 550000698 | CA | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | LTC80288G | 05 |
| Other Name | Type Code |
|---|---|
| Happy Ranch Program | Other Name - Individual/Organization |
| Street Address |
40145 BEST RANCH ROAD |
| City | WOODLAND |
| State | CA |
| Zip Code | 95776 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265736102 | Kristin Mae Davey | Physical Therapist | 1423 Roosevelt Drive, Woodland, CA 95776 | 2011-01-07 |
| 1669784484 | Suzan Jane Motooka | Licensed Vocational Nurse | 991 Hoppin Ct, Woodland, CA 95776 | 2010-07-09 |
| 1104157478 | Gill and Ghazal Dental Corporation | Dentist | 2041 Bronze Star Drive Suite 100, Woodland, CA 95776 | 2010-01-26 |
| 1962640284 | Amber Christine Mitchell | Behavioral Analyst | 2100 5th St., Davis, CA 95776 | 2009-01-23 |
| 1376716845 | Steven William Thomson | Dentist | 825 East St #121, Woodland, CA 95776 | 2008-04-07 |
| 1902081714 | Costco Wholesale Corporation | Pharmacy | 2299 Bronze Star Dr, Woodland, CA 95776 | 2007-12-31 |
| 1609095322 | Woodland Hearing Aid Services Inc | Specialist | 1837 E Gibson Rd Suite K, Woodland, CA 95776 | 2007-04-24 |
| 1114099157 | Kali Javon Leonard | Optometrist | 421 B Pioneer Ave, Woodland, CA 95776 | 2006-11-14 |
| 1609271485 | Victoria Leigh Aphailee | Registered Nurse | 1975 Maxwell Ave, Apt# C114, Woodland, CA 95776 | 2014-10-23 |
| 1730466897 | Emily Kartt | Nurse Practitioner | 2081 Bronze Star Dr, Woodland, CA 95776 | 2011-11-03 |
| Find all providers in zip 95776 | ||||
| Taxonomy Code | 313M00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Nursing Facility/Intermediate Care Facility |
| An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals. |
| Notes: Source: Paraphrased from Section 1919 (a) of the Social Security Act. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851500722 | Woodland Residential Services, Inc. | Nursing Facility/Intermediate Care Facility | 1000 4th St, Woodland, CA 95695-4914 | 2007-05-21 |
| 1033328901 | Woodland Residential Services, Inc. | Nursing Facility/Intermediate Care Facility | 418 North St, Woodland, CA 95695-3234 | 2007-05-21 |
| 1124237094 | Woodland Residential Services, Inc. | Nursing Facility/Intermediate Care Facility | 1215 Evergreen Way, Woodland, CA 95695-4353 | 2007-05-21 |
| 1942419817 | Woodland Residential Services, Inc. | Nursing Facility/Intermediate Care Facility | 1571 Squaw Valley Dr, Woodland, CA 95776-6740 | 2007-05-21 |
| 1811104797 | Woodland Residential Services, Inc. | Nursing Facility/Intermediate Care Facility | 303 Elliot St, Woodland, CA 95695-3223 | 2007-05-17 |
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| 1194296566 | Magnifique Congregate Living Inc | Nursing Facility/Intermediate Care Facility | 1827 W Avenue K12, Lancaster, CA 93534-6235 | 2018-12-11 |
| 1063994408 | Sinai Congregate Living Facility | Nursing Facility/Intermediate Care Facility | 1759 Windermere Drive, Lancaster, CA 93534-5319 | 2018-09-01 |
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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.