WOODLAND PARK
NPI 1306879580
Skilled Nursing Facility in Shepherd, TX

Active since July 09, 2006CLIA 45D0901244 · Waiver
101 WOODLAND PARK DR, SHEPHERD, TX 77371(936) 628-3388(936) 628-6387 Get Directions Write a Review

NPPES record last updated: May 12, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Woodland Park NPPES

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

WOODLAND PARK (NPI 1306879580) is a healthcare organization registered as a skilled nursing facility in Shepherd, Texas and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through May 18, 2027 and lists Douglas K Mittleider, President, as its authorized official.

NPPES Registry Identity

NPI1306879580
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameLTC HEALTHCARE SHEPARD INC
Location Address101 WOODLAND PARK DRShepherd, TX 77371-6497
Mailing Address5895 Windward Parkway, Suite 200Alpharetta, GA 30005-8805 · (770) 870-2813 · Fax (770) 870-2892
Fax(936) 628-6387
Organization SubpartNo
Authorized OfficialDouglas K MittleiderPresident · (770) 870-2813
Enumeration DateJuly 9, 2006
Last NPPES UpdateMay 12, 2015
NPI 1306879580 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
License Licensed in TX · 115618
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.
101 WOODLAND PARK DR, Shepherd, TX 77371

Other Names 1

Doing Business AsWoodland Park

Other Identifiers 2

Medicaid001001399TX
Medicare ID-Type Unspecified67-5484

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 45D0901244

Woodland Park Nursing Home · Shepherd, TX
Active · expires May 18, 2027
CLIA Number45D0901244
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateMay 19, 2025
Certificate Expiration DateMay 18, 2027
Laboratory DirectorBrandalyn Burnett
Laboratory Phone(936) 628-3388
Laboratory LocationWoodland Park Nursing Home101 Woodland Park Drive, Shepherd, TX 77371
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 2

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

Skilled Nursing Facility
101 WOODLAND PARK DR
SHEPHERD, TX 77371
Physical Therapy Assistant
101 WOODLAND PARK DR
SHEPHERD, TX 77371

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 Ltc Healthcare Shepard Inc's NPI number?

The NPI number for Ltc Healthcare Shepard Inc is 1306879580. It was assigned to this organization in the NPPES registry on July 9, 2006. The provider is doing business as Woodland Park.

Where is Ltc Healthcare Shepard Inc located?

Ltc Healthcare Shepard Inc is located at 101 Woodland Park Dr, Shepherd, TX 77371. The listed phone number is (936) 628-3388.

What is Ltc Healthcare Shepard Inc's specialty?

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

Does Ltc Healthcare Shepard Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D0901244) is associated with this NPI, valid through May 18, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Ltc Healthcare Shepard Inc was last updated on May 12, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.