PHCC-Windmill Village Rehabilitation & Health Care Center, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

PHCC-WINDMILL VILLAGE REHABILITATION & HEALTH CARE CENTER, LLC

Practice address

507 Martin Luther King Blvd
Lubbock, TX 79403-5211

Phone

(210) 545-6320

Fax

(210) 545-2730

NPI assigned

Jun 17, 2011

Organization subpart

No

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

Authorized official

Name

Mr. James A Meyers Jr.

Title

Ceo

Phone

(210) 545-6320

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Windmill Village Rehabilitation & Health Care Center Doing business as

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

{
    "created_epoch": "1308268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401321600000",
    "number": "1295020147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19115 FM 2252",
            "address_2": "SUITE 1",
            "city": "GARDEN RIDGE",
            "state": "TX",
            "postal_code": "782662577",
            "telephone_number": "210-545-6320",
            "fax_number": "210-545-2730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "507 MARTIN LUTHER KING BLVD",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794035211",
            "telephone_number": "210-545-6320",
            "fax_number": "210-545-2730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHCC-WINDMILL VILLAGE REHABILITATION & HEALTH CARE CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-17",
        "last_updated": "2014-05-29",
        "status": "A",
        "authorized_official_last_name": "MEYERS",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "210-545-6320",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001020457",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Windmill Village Rehabilitation & Health Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Derek Pfeiffer, DPT
• Pforym Business Solutions, Inc
• Doanh K Phan, MD.PA.
• Pharmcare USA of Lubbock LLC
• Pharmerica Drug Systems LLC
• Katherine Nicole Phelan, LPC ASSOCIATE
• Kathleen Ann Phelan
• Dana Jill Phemister, RN MSN
• Ryan Jacob Philip, DO
• Phillip Lindsey DDS PA

• Skilled Nursing Facility in Lubbock, TX
• Providers in Lubbock, TX by specialty
• Skilled Nursing Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2014; 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.