WOODLAWN HOSPITAL (NPI# 1326180803) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326180803 |
| Entity Type | Organization |
| Organization Name | WOODLAWN HOSPITAL |
| Other Organization Name | GOLDEN YEARS HOMESTEAD |
| Practice Address |
3136 Goeglein Rd Fort Wayne IN 46815-6685 |
| Practice Telephone | 2607499655 |
| Practice Fax Number | 2607499656 |
| Mailing Telephone | 2607499655 |
| Mailing Fax Number | 2607499656 |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2019-01-07 |
| Authorized Official Name | MR. JOHN ALLEY (PRESIDENT/CEO) |
| Authorized Official Telephone | 5742233141 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 05-000282 | IN | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 0501560M | 05 |
| Other Name | Type Code |
|---|---|
| Golden Years Homestead | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174186894 | Woodlawn Hospital | Clinic/Center | 100 E Dunn St, Fulton, IN 46931 | 2019-04-18 |
| 1710540695 | Woodlawn Hospital | Clinic/Center | 105 N Sr 14, Akron, IN 46910 | 2019-04-17 |
| 1114254190 | Woodlawn Hospital | Family Medicine | 100 E Dunn Street, Fulton, IN 49631 | 2009-11-11 |
| 1356405526 | Woodlawn Hospital | Durable Medical Equipment & Medical Supplies | 2310 E State Road 14, Rochester, IN 46975 | 2006-12-21 |
| 1043382625 | Woodlawn Hospital | Nurse Practitioner | 105 St Rd 14 N, Akron, IN 46910 | 2006-11-15 |
| 1639241227 | Woodlawn Hospital | Family Medicine | 530 N Michigan, Argos, IN 46501 | 2006-11-15 |
| 1285723734 | Woodlawn Hospital | Assisted Living Facility | 337 Grace Village Dr, Winona Lake, IN 46590-5774 | 2006-10-12 |
| 1073557617 | Woodlawn Hospital | Assisted Living Facility | 2201 East St, North Manchester, IN 46962-9654 | 2006-06-15 |
| 1235113945 | Woodlawn Hospital | Skilled Nursing Facility | 221 W Division St, Demotte, IN 46310-9566 | 2005-12-06 |
| 1982686242 | Woodlawn Hospital | Skilled Nursing Facility | 9601 Union Rd, Plymouth, IN 46563 | 2005-11-14 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | WOODLAWN HOSPITALITY GROUP LLC | 6719 Ne 18th Ave, Portland, OR 97211 |
| System for Award Management (SAM) Entities | WOODLAWN HOSPITALITY, LLC | 8632 Woodlawn Ct, Alexandria, VA 22309 |
| Street Address |
3136 GOEGLEIN RD |
| City | FORT WAYNE |
| State | IN |
| Zip Code | 46815-6685 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306305438 | Sullivan Services, Inc. | In Home Supportive Care | 2789-b Maplecrest Rd, Fort Wayne, IN 46815 | 2019-03-18 |
| 1598250144 | Altermease Gleason | Massage Therapist | 3406 Thames Drive, Fort Wayne, IN 46815 | 2018-06-26 |
| 1881000222 | Denise Sparks | Specialist | 6415 Benham Drive, Fort Wayne, IN 46815 | 2014-07-07 |
| 1962823138 | Chad Distelrath | Physical Therapy Assistant | 1717 Maplecrest Rd, Apt 112, Fort Wayne, IN 46815 | 2013-12-13 |
| 1689943409 | Kendall Joan Labrash | Physical Therapist | 4251 Lahmeyer Rd., Fort Wayne, IN 46815 | 2011-12-22 |
| 1801179718 | Jayson Laube | Pharmacist | 6201 Stellhorn, Fort Wayne, IN 46815 | 2011-09-27 |
| 1720294432 | Muscle Therapy Clinic LLC | Massage Therapist | 6409 Georgetown North Blvd, Fort Wayne, IN 46815 | 2007-05-16 |
| 1427186436 | Legoras Conture Fashions | Prosthetic/Orthotic Supplier | 3316 Inwood Drive, Fort Wayne, IN 46815 | 2007-03-01 |
| 1932252772 | Fort Wayne Smiles PC | Dentist | 2031 Reed Road, Fort Wayne, IN 46815 | 2007-01-18 |
| 1811078538 | Timothy Doody Lynch | Dentist | 4207 Hobson Court, Fort Wayne, IN 46815 | 2006-10-18 |
| Find all providers in zip 46815 | ||||
| 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 |
|---|---|---|---|---|
| 1023487592 | Lindsey Marie Fuller | Skilled Nursing Facility | 10603 Wild Flower Pl, Fort Wayne, IN 46845-1687 | 2015-09-15 |
| 1336548353 | Pulaski Memorial Hospital | Skilled Nursing Facility | 6050 S Cr 800 E-92, Fort Wayne, IN 46814-9201 | 2014-08-14 |
| 1154766459 | Major Hospital | Skilled Nursing Facility | 10445 Dupont Oaks Blvd, Fort Wayne, IN 46845-8792 | 2013-05-01 |
| 1326310400 | Riverview Hospital | Skilled Nursing Facility | 4111 Park Place Drive, Fort Wayne, IN 46845-8793 | 2012-02-03 |
| 1710280888 | Kelly Michelle Wood | Skilled Nursing Facility | 8528 Killeen Run, Fort Wayne, IN 46835-9657 | 2010-12-13 |
| 1194940205 | Recovery Health Services, Inc | Skilled Nursing Facility | 12101 Lima Rd, Fort Wayne, IN 46818-8903 | 2007-04-16 |
| 1871623041 | Henry County Memorial Hospital | Skilled Nursing Facility | 1400 Medical Park Dr, Fort Wayne, IN 46825-5832 | 2007-03-06 |
| 1740315878 | Henry County Memorial Hospital | Skilled Nursing Facility | 5700 Wilkie Dr, Fort Wayne, IN 46804-1662 | 2007-02-22 |
| 1528130432 | Indiana Health & Rehabilitation Center | Skilled Nursing Facility | 3811 Parnell Ave, Fort Wayne, IN 46805-1409 | 2006-11-15 |
| 1255441663 | Bhi Senior Living, Inc. | Skilled Nursing Facility | 2209 Saint Joe Center Rd, Fort Wayne, IN 46825-5061 | 2006-08-30 |
| Find all providers in FORT WAYNE | ||||
| City | FORT WAYNE |
| Zip Code | 46815 |
Please comment or provide details below to improve the information on WOODLAWN HOSPITAL.
| 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.