Organization Active NPI

Windsor Nursing Center Partners of Llano, LTD.

  • Skilled Nursing Facility
  • Llano, TX
National Provider Identifier
1104063387
Registry record updated Jan 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
WINDSOR NURSING CENTER PARTNERS OF LLANO, LTD.
Practice address
800 W Haynie St
Llano, TX 78643-1905
Phone
(325) 247-4194
NPI assigned
Jan 9, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2009

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

Authorized official

Name
Mr. Heber S. Lacerda
Title
Ceo/President
Phone
(361) 576-0694

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X TX Primary

Addresses

Primary practice location

800 W Haynie St
Llano, TX 78643-1905

Mailing address

101 W Goodwin Ave
Ste 600
Victoria, TX 77901-6502
Phone (361) 576-0694

Other identifiers 1

IdentifierTypeStateIssuer
4545MedicaidTX

Other names 1

  • LLANO NURSING AND REHABILITATION CENTER 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": "1231459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231459200000",
    "number": "1104063387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 W GOODWIN AVE",
            "address_2": "STE 600",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779016502",
            "telephone_number": "361-576-0694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 W HAYNIE ST",
            "city": "LLANO",
            "state": "TX",
            "postal_code": "786431905",
            "telephone_number": "325-247-4194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINDSOR NURSING CENTER PARTNERS OF LLANO, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-09",
        "last_updated": "2009-01-09",
        "status": "A",
        "authorized_official_last_name": "LACERDA",
        "authorized_official_first_name": "HEBER",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "361-576-0694",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4545",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LLANO NURSING AND REHABILITATION CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Llano, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 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.