Windsor Medical Center, Inc.

Primary specialty

Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X

License

0166N Issued in OH

Legal business name

WINDSOR MEDICAL CENTER, INC.

Practice address

1454 E Maple St
North Canton, OH 44720-2634

Phone

(330) 499-8300

Fax

(330) 966-8300

NPI assigned

Oct 3, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Thomas Robert Swallen, LNHA

Title

President

Phone

(330) 499-8300

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Skilled nursing facility certification: CCN 366456

Legal name

WINDSOR MEDICAL CENTER INC

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Jul 14, 2017

Last certification

Jun 23, 2022

Beds

20

Ownership / control type

Corporation

Organization structure

CorporationProprietary

Incorporated

May 3, 1961 in OH

Enrollment address

1454 East Maple Street
North Canton, OH 44720-2634

Nursing home name

WINDSOR MEDICAL CENTER INC

Listed as

Windsor Medical Center IncCCN 366456

Overall star rating

4 of 5

Health inspections

4 of 5

Staffing

4 of 5

Quality measures

3 of 5

Type

Medicare and Medicaid

Ownership

For profit - Corporation

Certified

Jul 14, 2017

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

2019.8 residents per day on average

Penalties (3 years)

3Fines totaling $6,512

Processed by Care Compare on Aug 1, 2026.

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

CLIA laboratory certificates

All disclosed owners & managing parties 4

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

Affiliated clinicians 1

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

• Jyothi Dyavanapalli Gudla, M.D

  • Geriatric Medicine (Internal Medicine) Physician
  • Canton, OH
  • NPI 1194872713

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1191369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374451200000",
    "number": "1649467648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1454 E MAPLE ST",
            "city": "NORTH CANTON",
            "state": "OH",
            "postal_code": "447202634",
            "telephone_number": "330-499-8300",
            "fax_number": "330-966-8300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1454 E MAPLE ST",
            "city": "NORTH CANTON",
            "state": "OH",
            "postal_code": "447202634",
            "telephone_number": "330-499-8300",
            "fax_number": "330-966-8300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINDSOR MEDICAL CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-03",
        "last_updated": "2013-07-22",
        "status": "A",
        "authorized_official_last_name": "SWALLEN",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "330-499-8300",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LNHA"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "OH",
            "license": "0166N",
            "primary": true
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NURSING FACILITY LICENSE",
            "identifier": "0166N",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shannon T Wilson, PTA
• Valen Marie Wilson
• William R Wilson, COTA/L
• Jessica Wilt, COTA/L
• Tiffany L Wiltanger, LPTA
• Stacy Winger
• Tracy L Winkfield, PT
• Emily K Winstead, OT
• Price Winston, PTA
• Kyra L Wise, LPN

• Nursing Facility/Intermediate Care Facility in North Canton, OH
• Providers in North Canton, OH by specialty
• Nursing Facility/Intermediate Care Facility in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• 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.