Windsor Place Nursing Center Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

865 Issued in MS

Legal business name

WINDSOR PLACE NURSING CENTER INC

Practice address

81 Windsor Blvd
Columbus, MS 39702

Phone

(662) 241-5518

Fax

(662) 241-5590

NPI assigned

Aug 2, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Oliver Lester Phillips Jr.

Title

Ceo

Phone

(662) 241-5518

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

Skilled nursing facility certification: CCN 255257

Legal name

WINDSOR PLACE NURSING CENTER INC

Doing business as

WINDSOR PLACE NURSING AND REHABILITATION

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF distinct part

Participating since

Feb 18, 1999

Last certification

Oct 9, 2024

Beds

140

Ownership / control type

Corporation

Organization structure

CorporationProprietary

Enrollment address

81 Windsor Blvd
Columbus, MS 39702-3143

Nursing home name

THE WINDSOR PLACE

Listed as

The Windsor PlaceCCN 255257

Overall star rating

1 of 5

Health inspections

2 of 5

Staffing

4 of 5

Quality measures

1 of 5

Type

Medicare and Medicaid

Ownership

For profit - Corporation

Certified

Feb 18, 1999

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

140126.0 residents per day on average

Penalties (3 years)

2Fines totaling $10,839

Processed by Care Compare on Aug 1, 2026.

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

All disclosed owners & managing parties 7

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

Owners & managing parties with NPI records 1

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

• Todd L Fulcher, MD

  • Family Medicine Physician
  • Jackson, MS
  • NPI 1124097191

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Todd L Fulcher, MD

  • Family Medicine Physician
  • Jackson, MS
  • NPI 1124097191
  NPD (past)
• Matthew Joel Wade, MD

  • Internal Medicine Physician
  • Columbus, MS
  • NPI 1508022476
  NPD (past)

Affiliated clinicians 3

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

• Brett O Brown, MD

  • Internal Medicine Physician
  • Columbus, MS
  • NPI 1841221702

  Nursing home

  Care Compare affiliation
• William Thomas Rosenblatt, M.D.

  • Internal Medicine Physician
  • Columbus, MS
  • NPI 1881038842

  Nursing home

  Care Compare affiliation
• Matthew Joel Wade, MD

  • Internal Medicine Physician
  • Columbus, MS
  • NPI 1508022476

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1154476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1265449367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "81 WINDSOR BLVD",
            "city": "COLUMBUS",
            "state": "MS",
            "postal_code": "39702",
            "telephone_number": "662-241-5518",
            "fax_number": "662-241-5590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "81 WINDSOR BLVD",
            "city": "COLUMBUS",
            "state": "MS",
            "postal_code": "39702",
            "telephone_number": "662-241-5518",
            "fax_number": "662-241-5590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINDSOR PLACE NURSING CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PHILLIPS",
        "authorized_official_first_name": "OLIVER",
        "authorized_official_middle_name": "LESTER",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "662-241-5518",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MS",
            "license": "865",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00230147",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John Michael Williamson, DNP, FNP-C, ARM-BC
• Ellen Bell Wilson, APRN, FNP-C
• Kala White Wilson, CFNP
• Tyrone Wilson
• Katherine Curtis Windham
• Joseph Bingham Witty, Jr., M.D.
• James D Wiygul, DMD
• Monica Faye Wolf, PA
• Duke J Wood, DO
• Dallas Woodard

• Skilled Nursing Facility in Columbus, MS
• Providers in Columbus, MS by specialty
• Skilled Nursing Facility in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.