Blythe/Windsor Country Park Healthcare Center, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

940000067 Issued in CA

Legal business name

BLYTHE/WINDSOR COUNTRY PARK HEALTHCARE CENTER, LLC

Doing business as

Windsor Gardens Convalescent Center of Long Beach

Practice address

3232 E Artesia Blvd
Long Beach, CA 90805-2811

Phone

(562) 422-9219

Fax

(562) 428-0280

NPI assigned

Nov 11, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Ash Chawla

Title

Vice President, Finance

Phone

(310) 385-1090

Specialties & licenses 1

Addresses

Other names 1

• Windsor Gardens Convalescent Center of Long Beach Doing business as

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

{
    "created_epoch": "1226361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1388620800000",
    "number": "1619121092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3232 E ARTESIA BLVD",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908052811",
            "telephone_number": "562-422-9219",
            "fax_number": "562-428-0280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3232 E ARTESIA BLVD",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908052811",
            "telephone_number": "562-422-9219",
            "fax_number": "562-428-0280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLYTHE/WINDSOR COUNTRY PARK HEALTHCARE CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-11",
        "last_updated": "2014-01-02",
        "status": "A",
        "authorized_official_last_name": "CHAWLA",
        "authorized_official_first_name": "ASH",
        "authorized_official_title_or_position": "VICE PRESIDENT, FINANCE",
        "authorized_official_telephone_number": "310-385-1090",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": "940000067",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Windsor Gardens Convalescent Center of Long Beach",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Indya Bluford
• Natalia Bluford, LVN
• Denis Blumenthal, RPH
• Kayla Blunt
• Blythe Ventures, Inc (Windsor Gardens Convalescent Center of Long Beach)
• BMG Inc (Active Adhc)
• Rena Bo
• Alfred Jameson III Boatwright
• Sara Lynne Boblak
• Myeshia Bobo, LCSW

• Skilled Nursing Facility in Long Beach, CA
• Providers in Long Beach, 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 Jan 2, 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.