WOODBURY NURSING CENTER (NPI# 1134293384) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134293384 |
| Entity Type | Organization |
| Organization Name | WOODBURY NURSING CENTER |
| Practice Address |
119 W High St Woodbury TN 37190-1226 |
| Practice Telephone | 6155635939 |
| Practice Fax Number | 6155634043 |
| Mailing Telephone | 6155635939 |
| Mailing Fax Number | 6155634043 |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. WALLY B. VERNON (ADMINISTRATOR) |
| Authorized Official Telephone | 6155635939 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 21 | TN | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 0445435 | 05 |
| Street Address |
119 W HIGH ST |
| City | WOODBURY |
| State | TN |
| Zip Code | 37190-1226 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538798921 | Kathryn Calahan Grissom | Speech-Language Pathologist | 119 W High St, Woodbury, TN 37190-1226 | 2020-04-07 |
| 1063059772 | Micah Katherine Applegate | Physical Therapy Assistant | 119 W High St, Woodbury, TN 37190-1226 | 2019-12-02 |
| 1407491715 | Shelby Marie Boman | Occupational Therapy Assistant | 119 W High St, Woodbury, TN 37190-1226 | 2019-11-11 |
| 1932663606 | Alexa Lieberman | Occupational Therapist | 119 W High St, Woodbury, TN 37190-1226 | 2019-01-28 |
| 1932671971 | Jessica Mae Cadle | Speech-Language Pathologist | 119 W High St, Woodbury, TN 37190-1226 | 2018-12-31 |
| 1982876454 | Ocoee Foundation-cc LLC | Skilled Nursing Facility | 119 W High St, Woodbury, TN 37190-1226 | 2008-03-25 |
| 1265559041 | Rebecca May Tufts | Physical Medicine & Rehabilitation | 119 W High St, Woodbury, TN 37190-1226 | 2007-03-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376143891 | Results-ast Jv, LLC | Physical Therapist | 324 Doolittle Road, Woodbury, TN 37190 | 2020-10-26 |
| 1255407219 | Catherine Lorraine Levi | Physical Therapy Assistant | 119 West High Street, Woodbury, TN 37190 | 2006-11-28 |
| 1669807830 | Heather J Melton | Nurse Practitioner | 89 Mears Drive, Woodbury, TN 37190 | 2013-09-06 |
| 1639245681 | James L Mayes | Physical Therapist | 324 Doolittle Rd, Woodbury, TN 37190 | 2006-11-28 |
| 1811063878 | Melisa Johnson Curtis | Physical Therapy Assistant | 324 Doolittle Rd, Stones River Hospital Inpatient Rehab, Woodbury, TN 37190 | 2006-11-28 |
| 1437677796 | Woodbury Drug Center LLC | Pharmacy | 604 W Main St, Woodbury, TN 37190-1029 | 2017-09-06 |
| 1437148905 | Darryl T Deason | Dentist | 801b W Main St, Woodbury, TN 37190-1032 | 2005-10-18 |
| 1629067855 | Andrew P Bucher | Dentist | 801b W Main St, Woodbury, TN 37190-1032 | 2005-10-20 |
| 1003360793 | Woodbury Dental Partners | Dentist | 801 W Main St, Suite B, Woodbury, TN 37190-1047 | 2016-08-10 |
| 1407000417 | Darryl T Deason | Dentist | 801 W Main St, Suite B, Woodbury, TN 37190-1047 | 2008-11-05 |
| Find all providers in zip 37190 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699146035 | St. Therese of Woodbury, LLC | Skilled Nursing Facility | 7555 Bailey Road, Woodbury, MN 55129 | 2015-10-12 |
| 1336136217 | Woodbury Center for Health Care | Skilled Nursing Facility | 8533 Jericho Tpke, Woodbury, NY 11797-1804 | 2005-10-05 |
| 1790772150 | White Oaks Rehabilitation and Nursing Center | Skilled Nursing Facility | 8565 Jericho Tpke, Woodbury, NY 11797-1804 | 2005-09-30 |
| 1508424623 | Woodbury Amop, LLC | Skilled Nursing Facility | 467 Cooper St, Woodbury, NJ 08096-2519 | 2019-06-04 |
| 1568812212 | Cold Spring Acquisition LLC | Skilled Nursing Facility | 378 Syosset Woodbury Rd, Woodbury, NY 11797-1200 | 2016-06-14 |
| 1477909638 | Cold Spring Acquisition LLC | Skilled Nursing Facility | 378 Syosset Woodbury Rd, Woodbury, NY 11797-1200 | 2016-05-06 |
| 1952776395 | 467 Cooper St Operating Company LLC | Skilled Nursing Facility | 467 Cooper St, Woodbury, NJ 08096-2519 | 2015-12-10 |
| 1609272160 | Aegis Therapies | Skilled Nursing Facility | 7012 Lake Rd, Woodbury, MN 55125-2433 | 2014-11-11 |
| 1962816850 | Cassena Care LLC | Skilled Nursing Facility | 225 Crossways Park Dr, Woodbury, NY 11797-2054 | 2014-06-18 |
| 1376989376 | Excel At Woodbury for Rehabilitation and Nursing LLC | Skilled Nursing Facility | 8533 Jericho Tpke, Woodbury, NY 11797-1804 | 2013-05-16 |
| 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.