Windsor Modesto Healthcare, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

WINDSOR MODESTO HEALTHCARE, LLC

Practice address

2030 Evergreen Ave
Modesto, CA 95350-3785

Phone

(209) 577-1055

NPI assigned

Jun 26, 2015

Organization subpart

No

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

Authorized official

Name

Mr. Lawrence Feigen

Title

Managing Member

Phone

(310) 385-1090

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Windsor Post-Acute Healthcare Center of Modesto Doing business as

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

{
    "created_epoch": "1435276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456876800000",
    "number": "1285016188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2030 EVERGREEN AVE",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953503785",
            "telephone_number": "209-577-1055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2030 EVERGREEN AVE",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953503785",
            "telephone_number": "209-577-1055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINDSOR MODESTO HEALTHCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-26",
        "last_updated": "2016-03-02",
        "status": "A",
        "authorized_official_last_name": "FEIGEN",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "310-385-1090",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID-TYPE UNSPECIFIED",
            "identifier": "55-5118",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Windsor Post-Acute Healthcare Center of Modesto",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rose A Wilson
• Roxanne Cora Wilson
• William George Wilson, D.D.S.
• Khin Than Win, M.D
• Shine C Win, M.D
• Rodger Seth Wine, MD
• Madison Wingate
• Leanna Winnick, PHARMD
• Julie Winokur
• Alejandra Winter

• Skilled Nursing Facility in Modesto, CA
• Providers in Modesto, 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 Mar 2, 2016; 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.