Organization Active NPI

Windsor Gardens Inc.

  • Assisted Living Facility
  • Vancouver, WA
National Provider Identifier
1043582208
Registry record updated Feb 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
B2117 Issued in WA
Legal business name
WINDSOR GARDENS INC.
Doing business as
Windsor Gardens Memory Care
Practice address
1602 NE 162ND Ave
Vancouver, WA 98684-9426
Phone
(360) 521-1300
Fax
(360) 260-3863
NPI assigned
Feb 3, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Dori Corina Hategan, ADMINISTRATOR
Title
Administrator
Phone
(360) 521-1300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X B2117 WA Primary

Addresses

Primary practice location

1602 NE 162ND Ave
Vancouver, WA 98684-9426

Mailing address

1602 NE 162ND Ave
Vancouver, WA 98684-9426
Phone (360) 521-1300

Other names 1

  • Windsor Gardens Memory Care Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1328227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328227200000",
    "number": "1043582208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1602 NE 162ND AVE",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986849426",
            "telephone_number": "360-521-1300",
            "fax_number": "360-260-3863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1602 NE 162ND AVE",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986849426",
            "telephone_number": "360-521-1300",
            "fax_number": "360-260-3863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINDSOR GARDENS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-03",
        "last_updated": "2012-02-03",
        "status": "A",
        "authorized_official_last_name": "HATEGAN",
        "authorized_official_first_name": "DORI",
        "authorized_official_middle_name": "CORINA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "360-521-1300",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "ADMINISTRATOR"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "WA",
            "license": "B2117",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Windsor Gardens Memory Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Vancouver, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.