Active NPI
Windsor Healthcare II Corp
- Assisted Living Facility
- Tyler, TX
National Provider Identifier
1710040498
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- License
- 118742
- Legal business name
- WINDSOR HEALTHCARE II CORP
- Doing business as
- Briarcliff Personal Care
- Practice address
- 3403 S Vine Ave
Tyler, TX 75701-8539 - Phone
- (903) 581-5714
- Fax
- (903) 561-7405
- NPI assigned
- Dec 18, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Diane M Ryan
- Title
- Owner'S Rep
- Phone
- (952) 837-0818
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | 118742 | TX | Primary |
Addresses
Primary practice location
3403 S Vine Ave
Tyler, TX 75701-8539
Mailing address
3403 S Vine Ave
Tyler, TX 75701-8539
Phone (903) 581-5714
Other names 1
- Briarcliff Personal Care
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166400000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1710040498",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3403 S VINE AVE",
"city": "TYLER",
"state": "TX",
"postal_code": "757018539",
"telephone_number": "903-581-5714",
"fax_number": "903-561-7405"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3403 S VINE AVE",
"city": "TYLER",
"state": "TX",
"postal_code": "757018539",
"telephone_number": "903-581-5714",
"fax_number": "903-561-7405"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WINDSOR HEALTHCARE II CORP",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-18",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "RYAN",
"authorized_official_first_name": "DIANE",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "OWNER'S REP",
"authorized_official_telephone_number": "952-837-0818",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": "TX",
"license": "118742",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Briarcliff Personal Care",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Tyler, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.