NPI age
19 years
Enumerated 2006-11-17
● Active Type 2 · Organization
Woodlake Nursing Home Llc
Woodlake Nursing Home Llc is 1 of 3272 skilled nursing facility organizations in Texas.
Primary specialty
Skilled Nursing Facility
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Fox
President
Last NPPES update
2016-03-16
Source: monthly bulk 2026-05
How this organization compares
Across 3272 active skilled nursing facility providers in Texas.
NPI age
19 years
↑ 4 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2006 → 2026
2006-11Enumerated in NPPES
2006
2026
Where they practice
Primary practice location
603 E Plantation Dr
Clute, TX 775315719
Mailing address
920 Ridgebrook Rd
Sparks, MD 211529390
Authorized official
Vedalia S Fox
President
📞 9792654221
Individual providers at this organization
2 individual providers on file at this primary practice address.
- Beth Simpson, OTA Occupational Therapy Assistant NPI 1649828377
- Cidney Ward Speech-Language Pathologist NPI 1780232470
Specialties
-
Skilled Nursing Facility Primary(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...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 001014699 |
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Woodlake Nursing Home
Practice context
Multi-provider organization. 2 individual providers on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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