J-S Fredericksburg Operations LP

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

121338 Issued in TX

Legal business name

J-S FREDERICKSBURG OPERATIONS LP

Doing business as

Windcrest Nursing and Rehabilitation Center

Practice address

210 W Windcrest St
Fredericksburg, TX 78624-4408

Phone

(830) 997-7422

Fax

(830) 997-0317

NPI assigned

Jul 16, 2007

Last updated

Feb 10, 2009By 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

Paula Pierce

Title

Authorized Officer

Phone

(972) 899-4401

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Windcrest Nursing and Rehabilitation Center Doing business as

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

{
    "created_epoch": "1184544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234224000000",
    "number": "1083813497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 WATERS RIDGE DR",
            "address_2": "STE. 200",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750576011",
            "telephone_number": "972-899-4401",
            "fax_number": "972-899-4460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 W WINDCREST ST",
            "city": "FREDERICKSBURG",
            "state": "TX",
            "postal_code": "786244408",
            "telephone_number": "830-997-7422",
            "fax_number": "830-997-0317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J-S FREDERICKSBURG OPERATIONS LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-16",
        "last_updated": "2009-02-10",
        "status": "A",
        "authorized_official_last_name": "PIERCE",
        "authorized_official_first_name": "PAULA",
        "authorized_official_title_or_position": "AUTHORIZED OFFICER",
        "authorized_official_telephone_number": "972-899-4401"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TX",
            "license": "121338",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCD CO B",
            "identifier": "190698601",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001015160",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Windcrest Nursing and Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ardra Dea Hughes, P.T.
• Carl David Hughes, MD
• Marie Hummel-Eisner, LVN, PHT
• John Thomas Hutton, M.D., PHD
• Meredith Laura Itz, ACNS-BC
• Jamison Professional Counseling Center Inc
• Jeffrey David Jamison, LCSW
• Jay P Janke, RPH
• Joel Kneitz MD PA
• John P Ramsay Professional Association

• Skilled Nursing Facility in Fredericksburg, TX
• Providers in Fredericksburg, TX by specialty
• Skilled Nursing Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2009; 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.