Organization Active NPI

VHG Winslow Az Opco LLC

  • Skilled Nursing Facility
  • Winslow, AZ
National Provider Identifier
1164326419
Registry record updated Oct 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
VHG WINSLOW AZ OPCO LLC
Practice address
826 W Desmond St
Winslow, AZ 86047-2321
Phone
(928) 289-4678
NPI assigned
Oct 7, 2026
Last updated
Oct 7, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2026

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

Authorized official

Name
Mr. Bryan Foulger
Title
Authorized Official
Phone
(949) 355-3795

Specialties & licenses 1

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

Addresses

Primary practice location

826 W Desmond St
Winslow, AZ 86047-2321

Mailing address

2 Ritz Carlton Dr Ste 202
Dana Point, CA 92629-4245
Phone (949) 355-3795

NPI Registry JSON

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

{
    "created_epoch": "1791331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791331200000",
    "number": "1164326419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 RITZ CARLTON DR STE 202",
            "city": "DANA POINT",
            "state": "CA",
            "postal_code": "926294245",
            "telephone_number": "949-355-3795"
        },
        {
            "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": "860472321",
            "telephone_number": "928-289-4678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VHG WINSLOW AZ OPCO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-07",
        "last_updated": "2026-10-07",
        "certification_date": "2026-10-07",
        "status": "A",
        "authorized_official_last_name": "FOULGER",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "949-355-3795",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winslow, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.