Winslow Convalescent Center Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

NCI 2284 Issued in AZ

Legal business name

WINSLOW CONVALESCENT CENTER INC

Doing business as

WINSLOW CAMPUS OF CARE

Practice address

826 W Desmond St
Winslow, AZ 86047

Phone

(928) 289-4678

Fax

(928) 289-2893

NPI assigned

Apr 9, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Chad Thomas Lewis

Title

Controller

Phone

(928) 289-4678

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• WINSLOW CAMPUS OF CARE Doing business as

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Skilled nursing facility certification: CCN 035254

Legal name

WINSLOW CONVALESCENT CENTER INC

Doing business as

WINSLOW CAMPUS OF CARE

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Jun 9, 1999

Last certification

Jan 31, 2025

Beds

119

Ownership / control type

Corporation

Organization structure

CorporationProprietary

Incorporated

Jul 1, 1976 in AZ

Enrollment address

826 W Desmond St
Winslow, AZ 86047-2321

Nursing home name

WINSLOW CAMPUS OF CARE

Listed as

Winslow Campus of CareCCN 035254 · All quality measures

Overall star rating

1 of 5

Health inspections

1 of 5

Staffing

1 of 5

Quality measures

4 of 5

Type

Medicare and Medicaid

Ownership

For profit - Corporation

Certified

Jun 9, 1999

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

11999.4 residents per day on average

Special focus status

SFF Candidate

Abuse citation

Cited for abuse (Care Compare abuse icon)

Penalties (3 years)

5Fines totaling $117,139

Processed by Care Compare on Aug 1, 2026.

Tax ID family

Winslow Campus of Care2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Winslow Campus of Care

  • Long Term Care Hospital
  • Winslow, AZ
  • NPI 1154552677
  NPD tax ID

Locations

All disclosed owners & managing parties 8

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Sadek Ebeid, MD

  • Internal Medicine Physician
  • Tempe, AZ
  • NPI 1255340816

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gerges E Makar, MBBCH

  • Hospitalist Physician
  • Anthem, AZ
  • NPI 1285955781
  NPD (past)

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Gerges E Makar, MBBCH

  • Hospitalist Physician
  • Anthem, AZ
  • NPI 1285955781

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1176076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413504000000",
    "number": "1093838419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "826 W DESMOND STREET",
            "city": "WINSLOW",
            "state": "AZ",
            "postal_code": "86047",
            "telephone_number": "928-289-4678",
            "fax_number": "928-289-2893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "826 W DESMOND ST",
            "city": "WINSLOW",
            "state": "AZ",
            "postal_code": "86047",
            "telephone_number": "928-289-4678",
            "fax_number": "928-289-2893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINSLOW CONVALESCENT CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-09",
        "last_updated": "2014-10-17",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "CHAD",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "928-289-4678",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "AZ",
            "license": "NCI 2284",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "488181",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WINSLOW CAMPUS OF CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Thelma Wilke, RN
• Jonathan R Will
• William K. Trimble, Crna, PLLC
• Dana Wilson, PHARMD
• Winslow Campus of Care
• Winslow Council on Aging
• Winslow Dental
• Winslow Guidance Associates, Inc.
• Winslow Indian Health Care Center, Inc
• Winslow Indian Health Care Center, Inc

• Skilled Nursing Facility in Winslow, AZ
• Providers in Winslow, AZ by specialty
• Skilled Nursing Facility in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.