Organization Active NPI

Windstar Residential Care LLC

  • Assisted Living Facility
  • Mesquite, TX
National Provider Identifier
1417686429
Registry record updated Jun 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
WINDSTAR RESIDENTIAL CARE LLC
Practice address
1815 Grand Cayman Way
Mesquite, TX 75149-5450
Phone
(214) 868-3757
Fax
(972) 222-9815
NPI assigned
Jun 6, 2022
Last updated
Jun 6, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2022

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

Authorized official

Name
Carmelle Y Devilme
Title
Manager
Phone
(214) 868-3757

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X NU Primary

Addresses

Primary practice location

1815 Grand Cayman Way
Mesquite, TX 75149-5450

Mailing address

1815 Grand Cayman Way
Mesquite, TX 75149-5450
Phone (214) 868-3757

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1654473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654473600000",
    "number": "1417686429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1815 GRAND CAYMAN WAY",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751495450",
            "telephone_number": "214-868-3757",
            "fax_number": "972-222-9815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1815 GRAND CAYMAN WAY",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751495450",
            "telephone_number": "214-868-3757",
            "fax_number": "972-222-9815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINDSTAR RESIDENTIAL CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-06",
        "last_updated": "2022-06-06",
        "certification_date": "2022-06-06",
        "status": "A",
        "authorized_official_last_name": "DEVILME",
        "authorized_official_first_name": "CARMELLE",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "214-868-3757"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesquite, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2022; 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.