Organization Active NPI

Winterfest Medical Services Corporation

Doing business as WinterFest Health Facility

  • Skilled Nursing Facility
  • Elk Grove, CA
National Provider Identifier
1528667581
Registry record updated Oct 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
WINTERFEST MEDICAL SERVICES CORPORATION
Doing business as
WinterFest Health Facility
Practice address
8758 Winterfest Way
Elk Grove, CA 95624-1295
Phone
(916) 284-4129
Fax
(916) 244-7162
NPI assigned
Oct 21, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2020

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

Authorized official

Name
Mrs. Janet Agustin
Title
Administrator
Phone
(916) 284-4129

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

8758 Winterfest Way
Elk Grove, CA 95624-1295

Mailing address

8758 Winterfest Way
Elk Grove, CA 95624-1295
Phone (916) 284-4129

Other names 1

  • WinterFest Health Facility Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Janet@BRLTC.com

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2228242Winterfest Health Facility8758 Winterfest Way, Elk Grove, CA 95624Certificate of waiverJun 22, 2027

National Provider Directory

National Provider Directory

Interoperability endpoints

  • Direct secure messaging: janet@brltc.com

NPI Registry JSON

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

{
    "created_epoch": "1603238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603238400000",
    "number": "1528667581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8758 WINTERFEST WAY",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "956241295",
            "telephone_number": "916-284-4129",
            "fax_number": "916-244-7162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8758 WINTERFEST WAY",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "956241295",
            "telephone_number": "916-284-4129",
            "fax_number": "916-244-7162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINTERFEST MEDICAL SERVICES CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-21",
        "last_updated": "2020-10-21",
        "certification_date": "2020-10-21",
        "status": "A",
        "authorized_official_last_name": "AGUSTIN",
        "authorized_official_first_name": "JANET",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "916-284-4129",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Janet@BRLTC.com",
            "affiliation": "N",
            "address_1": "8758 Winterfest Way",
            "city": "Elk Grove",
            "state": "CA",
            "country_code": "US",
            "postal_code": "956241295",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "WinterFest Health Facility",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Elk Grove, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.