# WOODWORTH ENTERPRISES, INC.

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Parent organization:** WOODWORTH ENTERPRISES, INC.
- **Other names:** CHETOPA MANOR
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1508864059
- **Legal business name:** WOODWORTH ENTERPRISES, INC.
- **Authorized official:** MR. BRAD WOODWORTH (GENERAL MANAGER)
- **Authorized official phone:** (620) 421-2431

## Contact information

- **Practice address:** 814 WALNUT ST, CHETOPA, KS 67336-8990
- **Practice address phone:** (620) 236-7248
- **Practice address fax:** (620) 236-7919
- **Mailing address:** 1217 S 15TH ST, PARSONS, KS 67357-5125
- **Mailing address phone:** (620) 421-2431
- **Mailing address fax:** (620) 423-3432

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | N050001 | KS | Yes |

## Other

- **Enumeration date:** 07/08/2005
- **Last updated:** 08/10/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 100109870A | — | KS |