Provider Demographics
NPI:1952491862
Name:W.H.C., INC
Entity Type:Organization
Organization Name:W.H.C., INC
Other - Org Name:WOODSIDE HEALTHCARE CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JAY
Authorized Official - Middle Name:
Authorized Official - Last Name:ANDERSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:916-927-9300
Mailing Address - Street 1:2240 NORTHROP AVE
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95825-7408
Mailing Address - Country:US
Mailing Address - Phone:916-927-9300
Mailing Address - Fax:916-927-3630
Practice Address - Street 1:2240 NORTHROP AVE
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95825-7408
Practice Address - Country:US
Practice Address - Phone:916-927-9300
Practice Address - Fax:916-927-3630
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-13
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
CALTC55798GMedicaid
CA555798Medicare ID - Type Unspecified