Organization Active NPI

Windsor Care & Rehab, LLC

  • Skilled Nursing Facility
  • Palatka, FL
National Provider Identifier
1295358653
Registry record updated Jun 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
WINDSOR CARE & REHAB, LLC
Practice address
501 S Palm Ave
Palatka, FL 32177-4147
Phone
(404) 372-1579
NPI assigned
May 20, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2021

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

Authorized official

Name
Jimmy Tyler McGee
Title
President
Phone
(404) 372-1579

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

501 S Palm Ave
Palatka, FL 32177-4147

Mailing address

210 Rolling Ridge CT
Roswell, GA 30075-1350
Phone (404) 372-1579

Other identifiers 1

IdentifierTypeStateIssuer
1023010071OtherFLNATIONAL PROVIDER NUMBER

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1589932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623801600000",
    "number": "1295358653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 ROLLING RIDGE CT",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300751350",
            "telephone_number": "404-372-1579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 S PALM AVE",
            "city": "PALATKA",
            "state": "FL",
            "postal_code": "321774147",
            "telephone_number": "404-372-1579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINDSOR CARE & REHAB, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-20",
        "last_updated": "2021-06-16",
        "certification_date": "2021-06-16",
        "status": "A",
        "authorized_official_last_name": "MCGEE",
        "authorized_official_first_name": "JIMMY",
        "authorized_official_middle_name": "TYLER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "404-372-1579"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATIONAL PROVIDER NUMBER",
            "identifier": "1023010071",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Palatka, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2021; 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.