Organization Active NPI

Winterhaven Healthcare Residence Operator LLC

Doing business as Winterhaven Healthcare Residence

  • Skilled Nursing Facility
  • Houston, TX
National Provider Identifier
1184090391
Registry record updated Jun 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
WINTERHAVEN HEALTHCARE RESIDENCE OPERATOR LLC
Doing business as
Winterhaven Healthcare Residence
Practice address
6534 Stuebner Airline Rd
Houston, TX 77091-3207
Phone
(713) 692-5137
Fax
(713) 692-5155
NPI assigned
Aug 11, 2015
Last updated
Jun 20, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2016

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

Authorized official

Name
Karin Falkinburg
Title
Executive Assistant
Phone
(214) 396-3462

Specialties & licenses 1

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

Addresses

Primary practice location

6534 Stuebner Airline Rd
Houston, TX 77091-3207

Mailing address

111 Clifton Ave
Lakewood, NJ 08701-3342
Phone (214) 396-3462

Other identifiers 2

IdentifierTypeStateIssuer
001027188MedicaidTX
004826OtherTXDADS

Other names 1

  • Winterhaven Healthcare Residence 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": "1439251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466380800000",
    "number": "1184090391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 CLIFTON AVE",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087013342",
            "telephone_number": "214-396-3462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6534 STUEBNER AIRLINE RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770913207",
            "telephone_number": "713-692-5137",
            "fax_number": "713-692-5155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINTERHAVEN HEALTHCARE RESIDENCE OPERATOR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-11",
        "last_updated": "2016-06-20",
        "status": "A",
        "authorized_official_last_name": "FALKINBURG",
        "authorized_official_first_name": "KARIN",
        "authorized_official_title_or_position": "EXECUTIVE ASSISTANT",
        "authorized_official_telephone_number": "214-396-3462"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001027188",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DADS",
            "identifier": "004826",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Winterhaven Healthcare Residence",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2016; 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.