Windsor Willow Tree Nursing & Rehab Center, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

WINDSOR WILLOW TREE NURSING & REHAB CENTER, LLC

Doing business as

Willow Tree Nursing & Rehab Center

Practice address

2124 57TH Ave
Oakland, CA 94621-4322

Phone

(510) 261-2628

NPI assigned

Aug 28, 2015

Last updated

Aug 28, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Lawrence Feigen

Title

Managing Member

Phone

(310) 385-1090

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Willow Tree Nursing & Rehab Center Doing business as

Locations

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

{
    "created_epoch": "1440720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440720000000",
    "number": "1083081723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2124 57TH AVE",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946214322",
            "telephone_number": "510-261-2628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2124 57TH AVE",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946214322",
            "telephone_number": "510-261-2628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINDSOR WILLOW TREE NURSING & REHAB CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-28",
        "last_updated": "2015-08-28",
        "status": "A",
        "authorized_official_last_name": "FEIGEN",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "310-385-1090"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER #",
            "identifier": "055876",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Willow Tree Nursing & Rehab Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sandra Sandee Win, M.D.
• Jessica Winchell
• Abbysinia Wincher
• Krista Winchester, MA, RD
• Windsor Oakridge Care Center, LLC (Windsor Healthcare Center of Oakland)
• Claire Wing, NP
• Devon Winger
• Amanda Joy Winner
• Ryan Swithin Winnie
• Xavier Winrow

• Skilled Nursing Facility in Oakland, CA
• Providers in Oakland, CA by specialty
• Skilled Nursing Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2015; 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.