Windsor Care Center of Petaluma LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

010000010 Issued in CA

Legal business name

WINDSOR CARE CENTER OF PETALUMA LLC

Practice address

523 Hayes LN
Petaluma, CA 94952-4011

Phone

(707) 763-2457

Fax

(707) 347-4705

NPI assigned

Apr 29, 2011

Organization subpart

No

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

Authorized official

Name

Mr. Ash Chawla

Title

Vice President of Finance

Phone

(310) 385-1078

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1304035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304035200000",
    "number": "1255622817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "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": "310-595-3752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "523 HAYES LN",
            "city": "PETALUMA",
            "state": "CA",
            "postal_code": "949524011",
            "telephone_number": "707-763-2457",
            "fax_number": "707-347-4705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINDSOR CARE CENTER OF PETALUMA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-29",
        "last_updated": "2011-04-29",
        "status": "A",
        "authorized_official_last_name": "CHAWLA",
        "authorized_official_first_name": "ASH",
        "authorized_official_title_or_position": "VICE PRESIDENT OF FINANCE",
        "authorized_official_telephone_number": "310-385-1078",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": "010000010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victoria Lorraine Williams, DO
• Molly Renee Williamson, SLP-A
• Wilmar Union School District
• Josh Wilson, BS
• Melissa Beth Wilson, M.SC., L.AC., DIPL.
• Linda Winter, PH.D.
• Alexis S Wolf, MFT
• Audrey Wolff
• Gordon Miles Wong, OD
• Kristi Rose Lim Wong

• Skilled Nursing Facility in Petaluma, CA
• Providers in Petaluma, 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 Apr 29, 2011; 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.