NPIMap

Organization Active NPI

Windsor Skyline Care Center, LLC

Doing business as Windsor Skyline Care Center

  • Skilled Nursing Facility
  • Salinas, CA
National Provider Identifier
1689710048
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 SKYLINE CARE CENTER, LLC
Doing business as
Windsor Skyline Care Center
Practice address
348 Iris Dr
Salinas, CA 93906-3514
Phone
(831) 499-5496
Fax
(831) 757-5049
NPI assigned
Jan 30, 2007
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
Cheif Operating Officer
Phone
(310) 385-1090

Specialties & licenses 1

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

Addresses

Primary practice location

348 Iris Dr
Salinas, CA 93906-3514

Mailing address

348 Iris Dr
Salinas, CA 93906-3514
Phone (831) 499-5496

Other identifiers 1

IdentifierTypeStateIssuer
ZZR05871JMedicaidCA

Other names 1

  • Windsor Skyline 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
O20070718000513 CA Part A Provider - Skilled Nursing Facility 3678674801 Practice locations: Salinas, CA

Skilled nursing facility certification: CCN 055871

Legal name
WINDSOR SKYLINE CARE CENTER, LLC
Doing business as
COASTAL POST ACUTE
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jun 1, 1969
Last certification
Mar 14, 2025
Beds
80
Ownership / control type
Corporation
Multi-facility organization
Windsor NorCal 13 Holdings, LLC
Organization structure
LLCProprietary
Incorporated
Jan 4, 2007 in CA
Enrollment address
348 Iris Dr
Salinas, CA 93906-3514
Nursing home name
COASTAL POST ACUTE
Affiliated entity
WINDSOR

Care Compare: Nursing home

Medicare Care Compare
Listed as
Coastal Post AcuteCCN 055871 · All quality measures
Overall star rating
4 of 5
Health inspections
3 of 5
Staffing
4 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Jun 1, 1969
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
8071.4 residents per day on average
Chain
Windsor22 facilities in the chain
Penalties (3 years)
1Fines totaling $63,850

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 12

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%
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%
Shahid N Khan Individual Operational/Managerial Control Jan 1, 2024
Adp of the SNF Jan 1, 2024
Newgen Administrative Services, LLC Organization, Los Angeles, CA LLC Operational/Managerial Control Jun 30, 2023
Adp of the SNF Apr 23, 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, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Jul 29, 2024 100%
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
348 Iris Dr. Propco, LLC Organization, Los Angeles, CA LLC Adp of the SNF May 14, 2025
Windsor Norcal 13 Holdings LLC Organization, Los Angeles, CA LLC, Holding company, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Apr 1, 2007 100%
Aaron H Robin Individual 5% Or Greater Indirect Ownership Interest Jun 30, 2023 50%
Corporate OfficerPresident Aug 14, 2023
Preet Mohar-Grewal Individual Operational/Managerial Control Mar 1, 2023
Adp of the SNF Mar 1, 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

Affiliated clinicians 1

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": "1689710048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "348 IRIS DR",
            "city": "SALINAS",
            "state": "CA",
            "postal_code": "939063514",
            "telephone_number": "831-499-5496",
            "fax_number": "831-757-5049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "348 IRIS DR",
            "city": "SALINAS",
            "state": "CA",
            "postal_code": "939063514",
            "telephone_number": "831-499-5496",
            "fax_number": "831-757-5049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINDSOR SKYLINE 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": "CHEIF OPERATING OFFICER",
        "authorized_official_telephone_number": "310-385-1090",
        "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": "ZZR05871J",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Windsor Skyline Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Salinas, CA

Sources for this page

Verify at the official NPI Registry.