NPIMap

Organization Active NPI

Windsor Hampton Care Center, LLC

Doing business as Windsor Hampton Care Center

  • Skilled Nursing Facility
  • Stockton, CA
National Provider Identifier
1629114178
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
WINDSOR HAMPTON CARE CENTER, LLC
Doing business as
Windsor Hampton Care Center
Practice address
442 E Hampton St
Stockton, CA 95204-5519
Phone
(209) 466-0456
Fax
(209) 466-2796
NPI assigned
Jan 30, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Lawrence Fiegen
Title
Chief Operating Officer
Phone
(310) 382-1090

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X CA Primary

Addresses

Primary practice location

442 E Hampton St
Stockton, CA 95204-5519

Mailing address

442 E Hampton St
Stockton, CA 95204-5519
Phone (209) 466-0456

Other identifiers 1

IdentifierTypeStateIssuer
ZZR06324IMedicaidCA

Other names 1

  • Windsor Hampton Care Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070719000222 CA Part A Provider - Skilled Nursing Facility 0941301030 Practice locations: Stockton, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1629114178. Details of each certification follow.

Skilled nursing facility certification: CCN 056324

Legal name
WINDSOR HAMPTON CARE CENTER, LLC
Doing business as
HAMPTON POST ACUTE
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Aug 1, 1978
Last certification
Jun 6, 2024
Beds
120
Ownership / control type
Limited Liability Corporation
Multi-facility organization
Windsor NorCal 13 Holdings, LLC
Organization structure
LLCProprietary
Incorporated
Jan 4, 2007 in DE
Enrollment address
442 E Hampton St
Stockton, CA 95204-5519
Nursing home name
HAMPTON POST ACUTE
Affiliated entity
WINDSOR

Care Compare: Nursing home

Medicare Care Compare
Listed as
Hampton Post AcuteCCN 056324 · All quality measures
Overall star rating
1 of 5
Health inspections
1 of 5
Staffing
3 of 5
Quality measures
2 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Aug 1, 1978
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
120114.0 residents per day on average
Chain
Windsor22 facilities in the chain
Abuse citation
Cited for abuse (Care Compare abuse icon)
Penalties (3 years)
2Fines totaling $21,548

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 11

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
9560 Pico LLC Organization, Los Angeles, CA LLC, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Jun 30, 2023 50%
Kirti Kumar Solanki Individual Operational/Managerial Control May 10, 2012
Adp of the SNF May 10, 2012
Pico Ar LLC Organization, Los Angeles, CA LLC, Holding company, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Jun 30, 2023 50%
Newgen Administrative Services, LLC Organization, Los Angeles, CA LLC Operational/Managerial Control Jun 30, 2023
Adp of the SNF Apr 24, 2025
Antelope Holdings I, LLC Organization, Los Angeles, CA LLC, Holding company, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Jun 30, 2023 100%
Antelope Realty Holdings I, LLC Organization, Los Angeles, CA LLC, Holding company Adp of the SNF May 22, 2025
Avrohom L Tress Individual 5% Or Greater Indirect Ownership Interest Jun 30, 2022 50%
Corporate OfficerVice President Aug 14, 2023
Pamela Shaw Individual Operational/Managerial Control Jun 30, 2023
Adp of the SNF Jun 30, 2023
Pheng Thao Individual Operational/Managerial Control Feb 26, 2024
Adp of the SNF Feb 26, 2024
Windsor Norcal 13 Holdings LLC Organization, Los Angeles, CA LLC, Holding company, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Jan 4, 2007 100%
Aaron H Robin Individual 5% Or Greater Indirect Ownership Interest Jun 30, 2023 50%
Corporate OfficerPresident Aug 14, 2023

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 43

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 43

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 3

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1629114178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "442 E HAMPTON ST",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952045519",
            "telephone_number": "209-466-0456",
            "fax_number": "209-466-2796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "442 E HAMPTON ST",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952045519",
            "telephone_number": "209-466-0456",
            "fax_number": "209-466-2796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINDSOR HAMPTON CARE CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FIEGEN",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "310-382-1090",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZR06324I",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Windsor Hampton Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Stockton, CA

Sources for this page

Verify at the official NPI Registry.