Windermere Memory Care Inc.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL12844 Issued in FL

Legal business name

WINDERMERE MEMORY CARE INC.

Practice address

7901 Kipling St
Pensacola, FL 32514-6265

Phone

(850) 477-1600

Fax

(850) 477-0004

NPI assigned

Jun 4, 2016

Organization subpart

No

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

Authorized official

Name

Mrs. Joann M Notz

Title

Administrator

Phone

(850) 477-1600

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1464998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464998400000",
    "number": "1790134310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7901 KIPLING ST",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325146265",
            "telephone_number": "850-477-1600",
            "fax_number": "850-477-0004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7901 KIPLING ST",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325146265",
            "telephone_number": "850-477-1600",
            "fax_number": "850-477-0004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINDERMERE MEMORY CARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-04",
        "last_updated": "2016-06-04",
        "status": "A",
        "authorized_official_last_name": "NOTZ",
        "authorized_official_first_name": "JOANN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "850-477-1600",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL12844",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Savannah Jade Wilson, PA-C
• Teresa K Wilson, CRNA
• Wanda Wilson
• William Carl Wilson, D.O.
• Rhonda D Wilstrup, CNM, ARNP
• Nancy S Windham, M.S.
• Olivia G Windham, DC
• Pamela Kay Windham, MSC/CCC/SLP
• Megan Elizabeth Windom, APRN
• Petrina Marie Windsor, LMT

• Assisted Living Facility in Pensacola, FL
• Providers in Pensacola, FL by specialty
• Assisted Living Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.