Windsor Convalescent and Rehab Center of Concord, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

140000140 Issued in CA

Legal business name

WINDSOR CONVALESCENT AND REHAB CENTER OF CONCORD, LLC

Practice address

3806 Clayton Rd
Concord, CA 94521-2516

Phone

(925) 689-2266

Fax

(925) 689-0509

NPI assigned

Mar 9, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Ken Cess

Title

Administrator

Phone

(925) 689-2266

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392163200000",
    "number": "1568593473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3806 CLAYTON RD",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945212516",
            "telephone_number": "925-689-2266",
            "fax_number": "925-689-0509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3806 CLAYTON RD",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945212516",
            "telephone_number": "925-689-2266",
            "fax_number": "925-689-0509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINDSOR CONVALESCENT AND REHAB CENTER OF CONCORD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-09",
        "last_updated": "2014-02-12",
        "status": "A",
        "authorized_official_last_name": "CESS",
        "authorized_official_first_name": "KEN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "925-689-2266",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": "140000140",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZR05150J",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tiana D Wilson
• Traci Wilson
• Tzetzangari Isabel Wilson
• Jasmenn Wimberly
• Blair Roselynn Winchester
• Jessica Athena-Marie Winship
• Darion Winston
• Rachel Wintner
• Brian Scott Wise
• Chentelle Pacheco Wise

• Skilled Nursing Facility in Concord, CA
• Providers in Concord, CA by specialty
• Skilled Nursing Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2014; 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.