WOODLAKE NURSING HOME
NPI 1144394719
Skilled Nursing Facility in Clute, TX

Active since November 17, 2006CLIA 45D0885670 · Waiver
603 E PLANTATION DR, CLUTE, TX 77531(979) 265-4221 Get Directions Write a Review

NPPES record last updated: March 16, 2016. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 16, 2016, Feb 26, 2016 (2 updates tracked since 2016).

About Woodlake Nursing Home NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WOODLAKE NURSING HOME (NPI 1144394719) is a healthcare organization registered as a skilled nursing facility in Clute, Texas and active in the NPI registry since November 2006. The organization holds a CLIA Waiver certificate valid through December 27, 2026 and lists Vedalia S Fox, President, as its authorized official.

NPPES Registry Identity

NPI1144394719
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameWOODLAKE NURSING HOME LLC
Location Address603 E PLANTATION DRClute, TX 77531-5719
Mailing Address920 Ridgebrook RdSparks, MD 21152-9390
Organization SubpartNo
Authorized OfficialVedalia S FoxPresident · (979) 265-4221
Enumeration DateNovember 17, 2006
Last NPPES UpdateMarch 16, 20162 updates tracked since enumeration
✔ NPI 1144394719 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
Definition
(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.
603 E PLANTATION DR, Clute, TX 77531

Other Names 1

Doing Business AsWoodlake Nursing Home

Other Identifiers 2

Medicare OSCAR/certification675234
Medicaid001014699TX

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D0885670

Woodlake Nursing Home · Clute, TX
Active · expires Dec 27, 2026
CLIA Number45D0885670
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateDecember 28, 2024
Certificate Expiration DateDecember 27, 2026
Laboratory DirectorDonna Britt
Laboratory Phone(979) 265-4221
Laboratory LocationWoodlake Nursing Home603 E Plantation Drive, Clute, TX 77531
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Skilled Nursing Facility
603 E PLANTATION DR
CLUTE, TX 77531
Skilled Nursing Facility
603 E PLANTATION DR
CLUTE, TX 77531
Surgery
603 E PLANTATION DR
CLUTE, TX 77531
Occupational Therapy Assistant
603 E PLANTATION DR
CLUTE, TX 77531
Speech-Language Pathologist
603 E PLANTATION DR
CLUTE, TX 77531

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Woodlake Nursing Home LLC's NPI number?

The NPI number for Woodlake Nursing Home LLC is 1144394719. It was assigned to this organization in the NPPES registry on November 17, 2006. The provider is doing business as Woodlake Nursing Home.

Where is Woodlake Nursing Home LLC located?

Woodlake Nursing Home LLC is located at 603 E Plantation Dr, Clute, TX 77531. The listed phone number is (979) 265-4221.

What is Woodlake Nursing Home LLC's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

Does Woodlake Nursing Home LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D0885670) is associated with this NPI, valid through December 27, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Woodlake Nursing Home LLC was last updated on March 16, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.