Windsor Manor Training Home Adult Min.

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

License

0100059631 Issued in VA

Legal business name

WINDSOR MANOR TRAINING HOME ADULT MIN.

Practice address

1010 4TH St
Lynchburg, VA 24504-2806

Phone

(434) 385-4799

Fax

(434) 847-3230

NPI assigned

Dec 28, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Stephanie Denise Massie

Title

Director

Phone

(343) 847-1219

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1275699076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1104 ARDMORE DR",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245012234",
            "telephone_number": "434-385-4799",
            "fax_number": "434-847-3230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 4TH ST",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245042806",
            "telephone_number": "434-385-4799",
            "fax_number": "434-847-3230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINDSOR MANOR TRAINING HOME ADULT MIN.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MASSIE",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "DENISE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "343-847-1219",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "VA",
            "license": "0100059631",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Noah Andrew Wilson, ATC
• Regina Marie Wilson
• Susan M Wilson, LPC
• Timothy Jon Wilson, O.D.
• Laura D Winch
• Amanda Winebarger
• Jane Blanks Wingfield
• William Carter Wingfield Sr., RPH
• Leroy Sterling Wingo III, LCSW
• Jesse Winn

• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Lynchburg, VA
• Providers in Lynchburg, VA by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Virginia

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.