Organization Active NPI

Windsor Manor Assisted Living

Doing business as Windsor Manor Healthcare, LLC

  • Assisted Living Facility
  • Oklahoma City, OK
National Provider Identifier
1083815856
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
AL5516-5516 Issued in OK
Legal business name
WINDSOR MANOR ASSISTED LIVING
Doing business as
Windsor Manor Healthcare, LLC
Practice address
4825 NW 23Rd St
Oklahoma City, OK 73127-1800
Phone
(405) 945-0010
Fax
(405) 947-6542
NPI assigned
May 30, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
S Wendy McEntire
Title
Corp Business MGR
Phone
(405) 737-0881

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X AL5516-5516 OK Primary

Addresses

Primary practice location

4825 NW 23Rd St
Oklahoma City, OK 73127-1800

Mailing address

1380 S Douglas Blvd
Midwest City, OK 73130-5215
Phone (405) 737-0881

Other names 1

  • Windsor Manor Healthcare, LLC 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": "1180483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1083815856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1380 S DOUGLAS BLVD",
            "city": "MIDWEST CITY",
            "state": "OK",
            "postal_code": "731305215",
            "telephone_number": "405-737-0881",
            "fax_number": "405-737-0899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4825 NW 23RD ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731271800",
            "telephone_number": "405-945-0010",
            "fax_number": "405-947-6542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINDSOR MANOR ASSISTED LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MCENTIRE",
        "authorized_official_first_name": "S",
        "authorized_official_middle_name": "WENDY",
        "authorized_official_title_or_position": "CORP BUSINESS MGR",
        "authorized_official_telephone_number": "405-737-0881"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "OK",
            "license": "AL5516-5516",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Windsor Manor Healthcare, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.