# OCOEE FOUNDATION-CC LLC

> 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
- **Other names:** Woodbury Nursing and Rehabilitation Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1982876454
- **Authorized official:** MICHELLE HOLCOMBE (CFO)
- **Authorized official phone:** (423) 834-3188

## Contact information

- **Practice address:** 119 W HIGH ST, WOODBURY, TN 37190-1226
- **Practice address phone:** (615) 563-5930
- **Practice address fax:** (615) 563-4043
- **Mailing address:** 119 W HIGH ST, WOODBURY, TN 37190-1226
- **Mailing address phone:** (615) 563-5930
- **Mailing address fax:** (615) 563-4043

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 102 | TN | Yes |

## Other

- **Enumeration date:** 03/25/2008
- **Last updated:** 10/05/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0445435 | — | TN |
| 05 | — | 7440221 | — | TN |