Windsor Anaheim Healthcare, LTD

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

060000110 Issued in CA

Legal business name

WINDSOR ANAHEIM HEALTHCARE, LTD

Practice address

3415 W Ball Rd
Anaheim, CA 92804-3708

Phone

(714) 826-8950

Fax

(714) 229-9437

NPI assigned

Oct 26, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Lawrence Fiegen

Title

Vice President

Phone

(310) 385-1090

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• WINDSOR GARDENS CONVALESCENT CENTER OF ANAHEIM Doing business as

Locations

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225238400000",
    "number": "1275618142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3415 W BALL RD",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928043708",
            "telephone_number": "714-826-8950",
            "fax_number": "714-229-9437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3415 W BALL RD",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928043708",
            "telephone_number": "714-826-8950",
            "fax_number": "714-229-9437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINDSOR ANAHEIM HEALTHCARE, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-26",
        "last_updated": "2008-10-29",
        "status": "A",
        "authorized_official_last_name": "FIEGEN",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "310-385-1090",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": "060000110",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "LTC55688F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WINDSOR GARDENS CONVALESCENT CENTER OF ANAHEIM",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Skilled Nursing Facility in Anaheim, CA
• Providers in Anaheim, 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 Oct 29, 2008; 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.