OrganizationActive
Woodenshoe Retreat Inc.
NPI 1255582912 · Assisted Living Facility · Orange City, FL
Provider details
- NPI number
- 1255582912
- Entity type
- Organization
- Primary specialty
- Assisted Living FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Jim Hill, President(386) 775-4453
- License
- AL9351 (FL)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Detailed profile(86/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2560 Shady Ln
Orange City, FL 32763-9118
Phone: (386) 775-4453
Fax: (386) 775-4454
Street-level locationGet directions
Mailing address
2560 Shady Ln
Orange City, FL 32763-9118
Other names (DBA / former)
- Doing business as
- Shady Lane
Registry dates
- Enumerated
- 2008-09-30
- Last updated
- 2008-09-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.