Provider Demographics
NPI:1871688309
Name:THE WOODLANDS HEALTHCARE CENTER, L.L.C.
Entity Type:Organization
Organization Name:THE WOODLANDS HEALTHCARE CENTER, L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF REVENUE CYCLE
Authorized Official - Prefix:
Authorized Official - First Name:RACHAEL
Authorized Official - Middle Name:MICHELLE
Authorized Official - Last Name:TITMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-428-0876
Mailing Address - Street 1:144 THAD BILLS DRIVE
Mailing Address - Street 2:
Mailing Address - City:LEESVILLE
Mailing Address - State:LA
Mailing Address - Zip Code:71446-2832
Mailing Address - Country:US
Mailing Address - Phone:337-239-6578
Mailing Address - Fax:337-238-2723
Practice Address - Street 1:144 THAD BAILS ROAD
Practice Address - Street 2:
Practice Address - City:LEESVILLE
Practice Address - State:LA
Practice Address - Zip Code:71446
Practice Address - Country:US
Practice Address - Phone:337-239-6578
Practice Address - Fax:337-238-2723
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-03
Last Update Date:2018-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA883314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1510891Medicaid
LA1510891Medicaid