Organization Active NPI

Windsor Health Care II Corp

  • Skilled Nursing Facility
  • Tyler, TX
National Provider Identifier
1487652095
Registry record updated Jun 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
109179 Issued in TX
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

Updated by the provider on Jun 20, 2013

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
5229MedicaidTX

Other names 1

  • Briarcliff Health Care Doing business as

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.