SHADY LANE
NPI 1255582912
Assisted Living Facility in Orange City, FL

Q: What is Woodenshoe Retreat Inc.'s NPI number?

The NPI number for Woodenshoe Retreat Inc. is 1255582912. It was assigned to this organization in the NPPES registry on September 30, 2008. The provider is doing business as Shady Lane.

Q: What is Woodenshoe Retreat Inc.'s specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Active since September 30, 2008

2560 SHADY LN, ORANGE CITY, FL 32763(386) 775-4453(386) 775-4454 Get Directions Write a Review

NPPES record last updated: September 30, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Shady Lane NPPES

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

SHADY LANE (NPI 1255582912) is a healthcare organization registered as an assisted living facility in Orange City, Florida and active in the NPI registry since September 2008. The organization lists Jim Dale Hill, President, as its authorized official.

NPPES Registry Identity

NPI1255582912

Entity TypeOrganization

Primary Taxonomy310400000X

Legal Business NameWOODENSHOE RETREAT INC.

Location Address2560 SHADY LNOrange City, FL 32763-9118

Mailing Address2560 Shady LnOrange City, FL 32763-9118 · (386) 775-4453 · Fax (386) 775-4454

Phone(386) 775-4453

Fax(386) 775-4454

Organization SubpartNo

Authorized OfficialJim Dale HillPresident · (386) 775-4453

Enumeration DateSeptember 30, 2008

✔ NPI 1255582912 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities

Taxonomy Code310400000X

License✔ Licensed in FL · AL9351

Definition

A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

2560 SHADY LN, Orange City, FL 32763

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Other Names 1

Doing Business AsShady Lane

Other Providers at the Same Location NPPES

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

DL GLOBAL MANAGEMENT CORP

Assisted Living Facility

2560 SHADY LN
ORANGE CITY, FL 32763

Volusia County (386) 775-4453

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 Woodenshoe Retreat Inc.'s NPI number?

The NPI number for Woodenshoe Retreat Inc. is 1255582912. It was assigned to this organization in the NPPES registry on September 30, 2008. The provider is doing business as Shady Lane.

Where is Woodenshoe Retreat Inc. located?

Woodenshoe Retreat Inc. is located at 2560 Shady Ln, Orange City, FL 32763. The listed phone number is (386) 775-4453.

What is Woodenshoe Retreat Inc.'s specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

When was this NPI record last updated?

The NPPES record for Woodenshoe Retreat Inc. was last updated on September 30, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.