Active NPI
Windsor Health Care II Corp
- Skilled Nursing Facility
- Tyler, TX
National Provider Identifier
1487652095
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 109179
- Legal business name
- WINDSOR HEALTH CARE II CORP
- Doing business as
- Briarcliff Health Care
- Practice address
- 3403 S Vine Ave
Tyler, TX 75701-8539 - Phone
- (903) 581-5714
- Fax
- (903) 561-7405
- NPI assigned
- Jul 8, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Chana Shelton
- Title
- Cfo
- Phone
- (940) 464-7018
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 109179 | TX | Primary |
Addresses
Primary practice location
3403 S Vine Ave
Tyler, TX 75701-8539
Mailing address
3403 S Vine Ave
Tyler, TX 75701-8539
Phone (903) 581-5714
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5229 | Medicaid | TX |
Other names 1
- Briarcliff Health Care
National Provider Directory
National Provider DirectoryLocations
300 Cherry St
Chandler, TX 75758
Phone (903) 849-2485
Ownership & related parties
Subparts reporting this organization as parent 1
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
-
- Skilled Nursing Facility
- Chandler, TX
- NPI 1437146073
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120780800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1371686400000",
"number": "1487652095",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3403 S VINE AVE",
"city": "TYLER",
"state": "TX",
"postal_code": "757018539",
"telephone_number": "903-581-5714",
"fax_number": "903-561-7405"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3403 S VINE AVE",
"city": "TYLER",
"state": "TX",
"postal_code": "757018539",
"telephone_number": "903-581-5714",
"fax_number": "903-561-7405"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WINDSOR HEALTH CARE II CORP",
"organizational_subpart": "NO",
"enumeration_date": "2005-07-08",
"last_updated": "2013-06-20",
"status": "A",
"authorized_official_last_name": "SHELTON",
"authorized_official_first_name": "CHANA",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "940-464-7018"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "TX",
"license": "109179",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5229",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Briarcliff Health Care",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Tyler, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 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.