Windsor Care Center of Gridley, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

WINDSOR CARE CENTER OF GRIDLEY, LLC

Doing business as

Sierra Healthcare Center

Practice address

246 Spruce St
Gridley, CA 95948-2216

Phone

(530) 846-6266

NPI assigned

Aug 28, 2015

Last updated

Sep 11, 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

Mr. Lawrence Feigen

Title

Managing Member

Phone

(310) 385-1090

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Sierra Healthcare Center Doing business as

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

{
    "created_epoch": "1440720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441929600000",
    "number": "1114394830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "246 SPRUCE ST",
            "city": "GRIDLEY",
            "state": "CA",
            "postal_code": "959482216",
            "telephone_number": "530-846-6266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "246 SPRUCE ST",
            "city": "GRIDLEY",
            "state": "CA",
            "postal_code": "959482216",
            "telephone_number": "530-846-6266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINDSOR CARE CENTER OF GRIDLEY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-28",
        "last_updated": "2015-09-11",
        "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",
        "authorized_official_name_prefix": "Mr."
    },
    "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": "555124",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sierra Healthcare Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Valerie Youa Vangthao, AMFT
• Astrid Vera
• Victor Community Support Services, Inc.
• Lyndi Wallace
• Cody James Walsh
• Jared M York, COTA/L

• Skilled Nursing Facility in Gridley, CA
• Providers in Gridley, 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 Sep 11, 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.