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WOODHAVEN RETIREMENT COMMUNITY
NPI 1316996226
Clinic/Center - Physical Therapy in Livonia, MI

Active since May 08, 2006CLIA 23D0996375 · Waiver
29667 WENTWORTH ST, LIVONIA, MI 48154(734) 261-9000(734) 261-9003 Get Directions Write a Review

NPPES record last updated: June 23, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 23, 2023, Aug 22, 2020 (2 updates tracked since 2020).

About Woodhaven Retirement Community NPPES

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

WOODHAVEN RETIREMENT COMMUNITY (NPI 1316996226) is a healthcare organization registered as a physical therapy in Livonia, Michigan and active in the NPI registry since May 2006. The organization holds a CLIA Waiver certificate valid through February 14, 2028 and lists Randall W. Gasser, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1316996226
Entity TypeOrganization
Primary Taxonomy261QP2000X
Legal Business NameWOODHAVEN OF LIVONIA
Location Address29667 WENTWORTH STLivonia, MI 48154-6231
Mailing Address29667 Wentworth StLivonia, MI 48154-6231 · (734) 261-9000 · Fax (734) 261-9003
Phone(734) 261-9000
Fax(734) 261-9003
Organization SubpartNo
Authorized OfficialRandall W. GasserExecutive Director · (734) 261-9000
Enumeration DateMay 8, 2006
Last NPPES UpdateJune 23, 20232 updates tracked since enumeration
NPPES CertifiedJune 23, 2023
✔ NPI 1316996226 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Physical TherapyAmbulatory Health Care Facilities
Taxonomy Code261QP2000X
Definition
An entity, facility, or distinct part of a facility providing diagnostic and treatment services related to physical rehabilitation. Physical therapy is a dynamic profession with an established theoretical and scientific base and widespread clinical applications in the restoration, maintenance, and promotion of optimal physical function. Physical therapists and physical therapist assistants are licensed health care professionals who are experts in the movement system and help individuals maintain, restore, and improve movement, activity, and functioning, thereby enabling optimal performance and enhancing health, well-being, and quality of life. Their services prevent, minimize, or eliminate impairments of body functions and structures, activity limitations, and participation restrictions. Physical therapy is provided for individuals of all ages who have or may develop impairments, activity limitations, and participation restrictions related to (1) conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems or (2) the negative effects attributable to unique personal and environmental factors as they relate to human performance.
Also ListedSkilled Nursing FacilityTaxonomy 314000000X · License 824514 (MI)
29667 WENTWORTH ST, Livonia, MI 48154
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Other Names 1

Doing Business AsWoodhaven Retirement Community

Other Identifiers 1

Medicaid4625216MI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Michigan Mutual Insurance Company.Insurance ›

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 23D0996375

Woodhaven Retirement Community · Livonia, MI
Active · expires Feb 14, 2028
CLIA Number23D0996375
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateFebruary 15, 2026
Certificate Expiration DateFebruary 14, 2028
Laboratory DirectorRandall W. Gasser
Laboratory Phone(734) 261-9000
Laboratory LocationWoodhaven Retirement Community29667 Wentworth Avenue, Livonia, MI 48154
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

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

DAWN E. ZIEGLER COTAL
Occupational Therapy Assistant
29667 WENTWORTH ST
LIVONIA, MI 48154
Wayne County (734) 261-9000
JUSTIN ADAMS
Physical Therapy Assistant
29667 WENTWORTH ST
LIVONIA, MI 48154
Wayne County (734) 261-9000
JARED IRVIN TUCKER MD
Internal Medicine
29667 WENTWORTH ST
LIVONIA, MI 48154
Wayne County (734) 261-9000

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 Woodhaven Of Livonia's NPI number?

The NPI number for Woodhaven Of Livonia is 1316996226. It was assigned to this organization in the NPPES registry on May 8, 2006. The provider is doing business as Woodhaven Retirement Community.

Where is Woodhaven Of Livonia located?

Woodhaven Of Livonia is located at 29667 Wentworth St, Livonia, MI 48154. The listed phone number is (734) 261-9000.

What is Woodhaven Of Livonia's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Physical Therapy, with taxonomy code 261QP2000X.

Does Woodhaven Of Livonia hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 23D0996375) is associated with this NPI, valid through February 14, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Woodhaven Of Livonia accept?

Health plans from Blue Cross Blue Shield of Michigan Mutual Insurance Company list Woodhaven Of Livonia as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Woodhaven Of Livonia was last updated on June 23, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.