Golden Years Homestead

LBN: Woodlawn Hospital
Golden Years Homestead is an health care organization with primary practice located at 3136 Goeglein Rd , Fort Wayne IN 46815-6685. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Woodlawn Hospital can be contacted via phone (260) 749-9655, or through Alley, John via phone (574) 223-3141.

Contact Information

Primary practice address
3136 Goeglein Rd Fort Wayne IN 46815-6685
Phone: (260) 749-9655
Fax: (260) 749-9656
Website:
Map and Directions
Authorized official contact:
Name: Alley, John
Phone: (574) 223-3141

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 05-000282 Indiana

Profile Details

NPI number 1326180803
LBN Legal business name Woodlawn Hospital
DBA Doing business as Golden Years Homestead
Authorized official Alley, John
Entity Organization
Organization subpart 1 No
Enumeration date Feb 13th, 2007
Last updated Jan 7th, 2019 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1326180803 NPPES
Indiana MEDICAID 0501560M

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