Windsor Palm Valley, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

WINDSOR PALM VALLEY, LLC

Doing business as

Palm Valley Rehabilitation & Care Center

Practice address

13575 W McDowell Rd
Goodyear, AZ 85395-2604

Phone

(623) 536-9911

Fax

(623) 536-9502

NPI assigned

Sep 4, 2012

Organization subpart

No

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

Authorized official

Name

Lee Samson

Title

Managing Member, Windsor Omg Holdin

Phone

(310) 385-1090

Specialties & licenses 1

Addresses

Other names 1

• Palm Valley Rehabilitation & Care Center Doing business as

Locations

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

{
    "created_epoch": "1346716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367280000000",
    "number": "1295084440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9200 W SUNSET BLVD",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "900693502",
            "telephone_number": "310-385-1076",
            "fax_number": "310-595-3736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13575 W MCDOWELL RD",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853952604",
            "telephone_number": "623-536-9911",
            "fax_number": "623-536-9502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINDSOR PALM VALLEY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-04",
        "last_updated": "2013-04-30",
        "status": "A",
        "authorized_official_last_name": "SAMSON",
        "authorized_official_first_name": "LEE",
        "authorized_official_title_or_position": "MANAGING MEMBER, WINDSOR OMG HOLDIN",
        "authorized_official_telephone_number": "310-385-1090"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Palm Valley Rehabilitation & Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Katelyn Willsey
• Brent J Wilson, OD
• Dominique Wilson, CNM
• Shianna Wilson
• Window to Healing Center, Inc. (N/a)
• Dionne Symone Winn, LMSW
• Keith D Winters, PA-C
• Daniel Wolter, DMD, MS
• Erika Lynn Womack, PHARMD
• Benjamin Kevin Woodruff, PHARM D

• Skilled Nursing Facility in Goodyear, AZ
• Providers in Goodyear, AZ by specialty
• Skilled Nursing Facility in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2013; 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.