Organization Active NPI

Windsor Redding Care Center, LLC

  • Skilled Nursing Facility
  • Redding, CA
National Provider Identifier
1487790937
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
WINDSOR REDDING CARE CENTER, LLC
Practice address
2490 Court St
Redding, CA 96001-2540
Phone
(530) 246-0600
Fax
(530) 246-0558
NPI assigned
Jan 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Lawrence Fiegen
Title
Chief Operating Officer
Phone
(310) 385-1090

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X CA Primary

Addresses

Primary practice location

2490 Court St
Redding, CA 96001-2540

Mailing address

2490 Court St
Redding, CA 96001-2540
Phone (530) 246-0600

Other identifiers 1

IdentifierTypeStateIssuer
ZZR06258HMedicaidCA

Other names 1

  • Windsor Redding Care Center Doing business as

National Provider Directory

National Provider Directory

Locations

2490 Court St
Redding, CA 96001
Phone (530) 246-0600

NPI Registry JSON

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1487790937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2490 COURT ST",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960012540",
            "telephone_number": "530-246-0600",
            "fax_number": "530-246-0558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2490 COURT ST",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960012540",
            "telephone_number": "530-246-0600",
            "fax_number": "530-246-0558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINDSOR REDDING CARE CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FIEGEN",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "310-385-1090",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZR06258H",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Windsor Redding Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Redding, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.