Active NPI
Winterfest Medical Services Corporation
Doing business as WinterFest Health Facility
- Skilled Nursing Facility
- Elk Grove, CA
National Provider Identifier
1528667581
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Janet@BRLTC.com |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D2228242 | Winterfest Health Facility | Certificate of waiver | Jun 22, 2027 |
National Provider Directory
National Provider DirectoryInteroperability endpoints
- 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.