Windsor Ridgecrest, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

WINDSOR RIDGECREST, LLC

Doing business as

Ridecrest Healthcare

Practice address

16640 N 38TH St
Phoenix, AZ 85032-2103

Phone

(602) 482-6671

Fax

(602) 482-3541

NPI assigned

Sep 11, 2012

Last updated

Apr 30, 2013By the provider in NPPES

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

• Ridecrest Healthcare Doing business as

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

{
    "created_epoch": "1347321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367280000000",
    "number": "1316297013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9200 SUNSET BLVD.",
            "address_2": "SUITE 700 C/O S&F MANAGEMENT COMPANY, LLC,",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "900693603",
            "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": "16640 N 38TH ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850322103",
            "telephone_number": "602-482-6671",
            "fax_number": "602-482-3541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINDSOR RIDGECREST, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-11",
        "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": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ridecrest Healthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Robert Windisch Jr., MD
• Daniel James Windschill, DO
• Windsor Encanto Palms, LLC (Encanto Palms Assisted Living)
• Windsor Maryland Gardens, LLC (Maryland Gardens Care Center)
• Windsor Maryland Gardens, LLC (Maryland Gardens Care Center)
• Mara L Windsor, D.O.
• Billie Winegard
• Heather Winegard
• James A. Wineinger, MSW
• John Wayne Winfery Jr.

• Skilled Nursing Facility in Phoenix, AZ
• Providers in Phoenix, 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.