NPIMap

Organization Active NPI

Windsor Elk Grove Care and Rehabilitation, LLC

  • Skilled Nursing Facility
  • West Hollywood, CA
National Provider Identifier
1235275975
Registry record updated Mar 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
100000001 Issued in CA
Legal business name
WINDSOR ELK GROVE CARE AND REHABILITATION, LLC
Doing business as
Windsor Elk Grove Care and Rehabilitation Center
Practice address
9200 W Sunset Blvd
Suite 700
West Hollywood, CA 90069-3502
Phone
(310) 385-1090
Fax
(310) 595-3792
NPI assigned
Jan 29, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2014

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

Authorized official

Name
Mr. Ash Chawla
Title
VP, Finance
Phone
(310) 385-1090

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 100000001 CA Primary

Addresses

Primary practice location

9200 W Sunset Blvd
Suite 700
West Hollywood, CA 90069-3502

Mailing address

9461 Batey Ave
Elk Grove, CA 95624-2005
Phone (916) 685-9525

Other identifiers 1

IdentifierTypeStateIssuer
ZZR05308IMedicaidCA

Other names 1

  • Windsor Elk Grove Care and Rehabilitation Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070725000071 CA Part A Provider - Skilled Nursing Facility 3971604646 Practice locations: Elk Grove, CA

Skilled nursing facility certification: CCN 055308

Legal name
WINDSOR ELK GROVE CARE AND REHABILITATION LLC
Doing business as
ELK GROVE POST ACUTE
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jan 1, 1967
Last certification
Feb 27, 2025
Beds
136
Ownership / control type
Limited Liability Corporation
Organization structure
LLCProprietary
Enrollment address
9461 Batey Ave
Elk Grove, CA 95624-2005
Nursing home name
ELK GROVE POST ACUTE
Affiliated entity
WINDSOR

Care Compare: Nursing home

Medicare Care Compare
Listed as
Elk Grove Post AcuteCCN 055308 · All quality measures
Overall star rating
3 of 5
Health inspections
2 of 5
Staffing
4 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Jan 1, 1967
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
136130.2 residents per day on average
Chain
Windsor22 facilities in the chain
Abuse citation
Cited for abuse (Care Compare abuse icon)
Penalties (3 years)
1Fines totaling $8,824

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 11

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
9560 Pico LLC Organization, Los Angeles, CA LLC, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Jun 30, 2023 50%
Pico Ar LLC Organization, Los Angeles, CA LLC, Holding company, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Jun 30, 2023 50%
Newgen Administrative Services, LLC Organization, Los Angeles, CA LLC Operational/Managerial Control Jun 30, 2023
Adp of the SNF Mar 19, 2025
Antelope Holdings I, LLC Organization, Los Angeles, CA LLC 5% Or Greater Indirect Ownership Interest Jun 30, 2023 100%
Larry R Feliciano Individual Operational/Managerial Control Jan 16, 2017
Adp of the SNF Jan 16, 2017
Antelope Realty Holdings I, LLC Organization, Los Angeles, CA LLC, Holding company, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Jul 26, 2024 100%
Avrohom L Tress Individual 5% Or Greater Indirect Ownership Interest Jun 30, 2023 50%
Corporate OfficerVice President Aug 14, 2023
Pamela Shaw Individual Operational/Managerial Control Jun 30, 2023
Trustee of the SNF Jun 30, 2023
Adp of the SNF Jun 30, 2023
Windsor Norcal 13 Holdings LLC Organization, Los Angeles, CA LLC, Holding company, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Jan 4, 2007 100%
Aaron H Robin Individual 5% Or Greater Indirect Ownership Interest Jun 30, 2023 50%
Corporate OfficerPresident Aug 14, 2023
Kelly Chow Individual Operational/Managerial Control Nov 6, 2023
Adp of the SNF Nov 6, 2023

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 43

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 43

Practitioners & affiliated clinicians

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395964800000",
    "number": "1235275975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9461 BATEY AVE",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "956242005",
            "telephone_number": "916-685-9525",
            "fax_number": "916-685-3373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9200 W SUNSET BLVD",
            "address_2": "SUITE 700",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "900693502",
            "telephone_number": "310-385-1090",
            "fax_number": "310-595-3792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINDSOR ELK GROVE CARE AND REHABILITATION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-29",
        "last_updated": "2014-03-28",
        "status": "A",
        "authorized_official_last_name": "CHAWLA",
        "authorized_official_first_name": "ASH",
        "authorized_official_title_or_position": "VP, FINANCE",
        "authorized_official_telephone_number": "310-385-1090",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": "100000001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZR05308I",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Windsor Elk Grove Care and Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in West Hollywood, CA

Sources for this page

Verify at the official NPI Registry.