WOODLAWN RETIREMENT HOME (NPI# 1043241748) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043241748 |
| Entity Type | Organization |
| Organization Name | WOODLAWN RETIREMENT HOME |
| Practice Address |
2171 Ruin Creek Rd Henderson NC 27537-8735 |
| Mailing Address |
2275 Ruin Creek Rd Henderson NC 27537-8732 |
| Practice Telephone | 2524920066 |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2008-06-19 |
| Authorized Official Name | MR. HERMAN DAVIS III (ADMINISTRATOR) |
| Authorized Official Telephone | 2524920066 |
| Is Organization Subpart | Y |
| Parent Organization Name | SENIOR CITIZENS HOME INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | HAL-091-003 | NC | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 7801463 | 05 |
| Street Address |
2171 RUIN CREEK RD |
| City | HENDERSON |
| State | NC |
| Zip Code | 27537-8735 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194337006 | House of Destiny | Psychiatric Residential Treatment Facility | 2171 Ruin Creek Rd, Henderson, NC 27537-8735 | 2020-08-21 |
| 1053923169 | Crystal Venable | Licensed Practical Nurse | 2171 Ruin Creek Rd, Henderson, NC 27537-8735 | 2020-08-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750931564 | Bonie Teal | Technician | 24 Waters Edge Rd, Henderson, NC 27537 | 2019-09-13 |
| 1720517147 | Jackson Thompson | Specialist/Technologist | 296 Cross Creek Rd, Henderson, NC 27537 | 2017-06-08 |
| 1346643160 | The Turner Home | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1945 Carey Chapel Road, Henderson, NC 27537 | 2014-10-07 |
| 1306285994 | Brown Home | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 6789 Vicksboro Road, Henderson, NC 27537 | 2013-06-18 |
| 1518306349 | Peace Home | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 80 Bliley Lane, Henderson, NC 27537 | 2013-06-14 |
| 1346555349 | New Direction Ministries, Incorporated | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 825 Thomas Road, Henderson, NC 27537 | 2010-08-13 |
| 1326371881 | Transforming Therapeutic Intensive Services | Clinic/Center | 416 Forest Hills Drive, Henderson, NC 27537 | 2009-09-15 |
| 1811166507 | D.d. Residential Services, Inc | Community/Behavioral Health | 941 U.S. 158, Vance Adult Group Home, Henderson, NC 27537 | 2008-02-27 |
| 1083770598 | A.g.a.p.e. Community Development Corporation, Inc. | Case Management | 265 Satterwhite Point Road, Henderson, NC 27537 | 2006-12-29 |
| 1316438948 | Beulah Margaret Gracelyn Daniel Nirmal Singh | Physical Therapist | 2275 Ruin Creek Rd, Henderson, NC 27537 | 2018-05-18 |
| Find all providers in zip 27537 | ||||
| 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 |
|---|---|---|---|---|
| 1326647132 | Pacifica Cottages LLC | Assisted Living Facility | 2620 Robindale Rd, Henderson, NV 89074-1277 | 2020-10-22 |
| 1225675036 | Tranquil Breezes Home Care LLC | Assisted Living Facility | 237 Palmetto Pointe Dr, Henderson, NV 89012-5015 | 2019-12-01 |
| 1134580459 | Complete Care Group Home | Assisted Living Facility | 2437 High Vista Cir, Henderson, NV 89014-3707 | 2016-03-14 |
| 1962635334 | Wcg Arbor Place Assisted Living, LLC | Assisted Living Facility | 1200 Kilgore Dr, Henderson, TX 75652-5132 | 2009-09-01 |
| 1578766481 | Davis Family Care | Assisted Living Facility | 1421 Ross Mill Rd, Henderson, NC 27537-5965 | 2007-06-07 |
| 1588780035 | Assisted Living Concepts Inc | Assisted Living Facility | 1905 Old Nacogdoches Road, Henderson, TX 75654 | 2007-03-22 |
| 1659409613 | Green-bullock Assisted Living Center | Assisted Living Facility | 1000 Healthcare Center Rd., Henderson, NC 27536-1498 | 2007-03-01 |
| 1578510269 | Henderson Residential, LLC | Assisted Living Facility | 558 White Ave, Henderson, TN 38340-1504 | 2006-05-28 |
| 1740278126 | Senior Citizens Home Inc | Assisted Living Facility | 2275 Ruin Creek Rd, Henderson, NC 27537-8732 | 2005-10-11 |
| 1053885467 | Sweet Home Belmont LLC | Assisted Living Facility | 2908 Belmont Dr, Henderson, NV 89074-6509 | 2019-01-18 |
| Find all providers in HENDERSON | ||||
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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.