Windsor House Senior Living LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

WINDSOR HOUSE SENIOR LIVING LLC

Practice address

14801 Holland Rd
Brookpark, OH 44142-3092

Phone

(216) 302-2719

Fax

(216) 803-1999

NPI assigned

Sep 27, 2019

Organization subpart

No

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

Authorized official

Name

Mr. John Coury Jr.

Title

Sole Member

Phone

(216) 302-2719

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1569542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677110400000",
    "number": "1134770308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14803 HOLLAND RD",
            "city": "BROOKPARK",
            "state": "OH",
            "postal_code": "441423065",
            "telephone_number": "216-302-2719",
            "fax_number": "216-803-1999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14801 HOLLAND RD",
            "city": "BROOKPARK",
            "state": "OH",
            "postal_code": "441423092",
            "telephone_number": "216-302-2719",
            "fax_number": "216-803-1999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINDSOR HOUSE SENIOR LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-27",
        "last_updated": "2023-02-23",
        "certification_date": "2023-02-23",
        "status": "A",
        "authorized_official_last_name": "COURY",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "216-302-2719",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ccalabrase@sovereignhealthcare.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "14803 Holland Rd",
            "city": "Brookpark",
            "state": "OH",
            "country_code": "US",
            "postal_code": "441423065",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2023; 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.