Windsor Convalescent and Rehabilitation Center of Fremont, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

WINDSOR CONVALESCENT AND REHABILITATION CENTER OF FREMONT, LLC

Practice address

2400 Parkside Dr
Fremont, CA 94536-5332

Phone

(510) 793-7222

NPI assigned

Jan 4, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Cynthia V Cruz, MHA, NHA

Title

Administrator

Phone

(510) 793-7222

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Windsor Park Care Center of Fremont Doing business as

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209686400000",
    "number": "1285781013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 PARKSIDE DR",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945365332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 PARKSIDE DR",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945365332",
            "telephone_number": "510-793-7222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINDSOR CONVALESCENT AND REHABILITATION CENTER OF FREMONT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-04",
        "last_updated": "2008-05-02",
        "status": "A",
        "authorized_official_last_name": "CRUZ",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "510-793-7222",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MHA, NHA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZR05276G",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Windsor Park Care Center of Fremont",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Robin Wilson
• Shurea A. Wilson, MD
• Stephen A Wilson, M.D.
• Vanessa Valencia Wilson, M.D.
• Htay Win, M.D.
• Windsor Country Drive Care Center, LLC
• Gay Lind Winterringer, PHD, RD
• Abigail Grace Wise-Wright I
• Angelica Wise
• Theodore Wismar

• Skilled Nursing Facility in Fremont, CA
• Providers in Fremont, 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 May 2, 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.