Windsor Care Center National City, Inc
Organization Active NPI Skilled Nursing Facility · National City, CA
NPI 1730176538 · NPPES record last updated Mar 29, 2012
Key facts
- NPI
- 1730176538
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- License
- 090000035 (CA)
- Legal business name
- WINDSOR CARE CENTER NATIONAL CITY, INC
- Practice address
- 220 E 24TH Street
National City, CA 91950-6705 - Phone
- (619) 474-6741
- Fax
- (619) 474-1925
- NPI assigned
- Oct 5, 2005
- Organization subpart
- No
Authorized official
- Name
- Mr. Ash Chawla
- Title
- VP, Finance
- Phone
- (310) 385-1090
Owners & managing parties with NPI records 1
-
Luis F Sanchez, M.D.
Facilities with the same owner 43
Affiliated clinicians 4
-
Nelda V. Ordonez, M.D.
-
Luis F Sanchez, M.D.
-
Yuichiro Sato, DO
Medicare Care Compare: Nursing home
- Listed as
- National City Post Acute
- Overall star rating
- ★★★☆☆ 3 of 5
- Health inspections
- ★★☆☆☆ 2 of 5
- Staffing
- ★★★☆☆ 3 of 5
- Quality measures
- ★★★★★ 5 of 5
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Aug 1, 1968
- Medicare certification status
- Active
- Certified beds
- 98 · 91.8 residents per day on average
- Chain
- Windsor
- Penalties (3 years)
- 1 · fines totaling $15,652
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D0721736 | Windsor Gardens Cnvlscnt Ctr San Diego | Certificate of waiver | Aug 31, 2026 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
Skilled nursing facility certification: CCN 055954
- Legal name
- WINDSOR CARE CENTER NATIONAL CITY INC
- Doing business as
- DEL MARINA POST ACUTE
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Aug 1, 1968
- Last certification
- Sep 22, 2022
- Beds
- 98
- Ownership / control type
- Limited Liability Corporation
- Organization structure
- Corporation · Proprietary
- Incorporated
- Dec 30, 1991 in CA
- Enrollment address
- 220 E 24TH St
National City, CA 91950-6705 - Nursing home name
- NATIONAL CITY POST ACUTE
- Affiliated entity
- WINDSOR
All disclosed owners & managing parties 11
| Name | Role | Since | Share |
|---|---|---|---|
| 9560 Pico LLC |
5% Or Greater Indirect Ownership Interest | Jun 30, 2023 | 50% |
| Pico Ar LLC |
5% Or Greater Indirect Ownership Interest | Jun 30, 2023 | 50% |
| Antelope Holdings II, LLC |
5% Or Greater Direct Ownership Interest | Jun 30, 2023 | 50% |
| Newgen Administrative Services, LLC |
Operational/Managerial Control | Jun 30, 2023 | |
| Adp of the SNF | Jun 20, 2025 | ||
| Antelope Realty Holdings I, LLC |
Adp of the SNF | Jun 20, 2025 | |
| Antelope Holdings III, LLC |
5% Or Greater Direct Ownership Interest | Jun 30, 2023 | 50% |
| Avrohom L Tress |
5% Or Greater Indirect Ownership Interest | Jun 30, 2023 | 50% |
| Corporate Officer |
Aug 14, 2023 | ||
| Corporate Director |
Aug 9, 2023 | ||
| Pamela Shaw |
Operational/Managerial Control | Jun 30, 2023 | |
| Adp of the SNF | Jun 30, 2023 | ||
| Luis F Sanchez |
Operational/Managerial Control | Nov 1, 2023 | |
| Adp of the SNF | Nov 1, 2023 | ||
| Eriberto Hernandez |
Operational/Managerial Control | Apr 1, 2023 | |
| Adp of the SNF | Apr 1, 2023 | ||
| Aaron H Robin |
5% Or Greater Indirect Ownership Interest | Jun 30, 2023 | 50% |
| Corporate Officer |
Aug 14, 2023 | ||
| Corporate Director |
Aug 9, 2023 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20030210000046 | CA | Part a Provider - Skilled Nursing Facility | 2567371149 | Practice locations: National City, CA |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 090000035 | CA | Yes |
Addresses
Primary practice location
220 E 24TH Street
National City, CA 91950-6705
Mailing address
220 E 24TH Street
National City, CA 91950-6705
Phone (619) 474-6741
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ZZT05954H | Medicaid | CA |
Other names
- Windsor Gardens Convalescent Center of San Diego
Other providers in National City, CA
- William F Resh MD, Skin & Skin Cancer Medical Group of San Diego, Inc.
- William T Chapman MD Inc
- Maria Helena Williamson
- Constance Berthea Wilson
- Jack Anthony Wilson
- Winterhaven Emergency Physicians Medical Group Inc
- Allyson A Wolfe
- Megan Woods
- Gerald L. Workman
- Carl-Marvin Kenneth-Elijah Wright
All providers in National City, CA · Skilled Nursing Facility in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 29, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.