Windsor Care Center, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

6380 Issued in OH

Legal business name

WINDSOR CARE CENTER, INC.

Doing business as

Grand Valley Country Manor

Practice address

5165 State Route 322
Windsor, OH 44099-9623

Phone

(440) 272-5600

Fax

(440) 272-1040

NPI assigned

Jun 27, 2006

Last updated

Nov 24, 2008By 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

Mr. Brian Colleran

Title

President

Phone

(440) 614-0160

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Grand Valley Country Manor Doing business as

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

{
    "created_epoch": "1151366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1227484800000",
    "number": "1528095486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7172 COLUMBIA RD",
            "city": "OLMSTED FALLS",
            "state": "OH",
            "postal_code": "441381530",
            "telephone_number": "440-793-0200",
            "fax_number": "440-793-0201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5165 STATE ROUTE 322",
            "city": "WINDSOR",
            "state": "OH",
            "postal_code": "440999623",
            "telephone_number": "440-272-5600",
            "fax_number": "440-272-1040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINDSOR CARE CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-27",
        "last_updated": "2008-11-24",
        "status": "A",
        "authorized_official_last_name": "COLLERAN",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "440-614-0160",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OH",
            "license": "6380",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2902489",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Grand Valley Country Manor",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Steven Ray McClintock, LPN
• Ella A Miller
• Deborah Scott
• Paula Stutzman
• Phoenyx O Tosti, PA-C
• Windsor Township Trustees (Windsor Fire Rescue)
• Jennifer Marie Zirm

• Skilled Nursing Facility in Windsor, OH
• Providers in Windsor, OH by specialty
• Skilled Nursing Facility in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2008; 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.