J. Nissi Healthcare, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

109359 Issued in TX

Legal business name

J. NISSI HEALTHCARE, INC.

Doing business as

Windsor Place Nursing Center

Practice address

507 E. Watson Blvd
Daingerfield, TX 75601-2013

Phone

(903) 645-3915

Fax

(903) 645-2288

NPI assigned

Oct 3, 2005

Last updated

Feb 23, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jan W Delorme, RN

Title

President

Phone

(903) 645-3915

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Windsor Place Nursing Center Doing business as

Locations

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

{
    "created_epoch": "1128297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329955200000",
    "number": "1790772994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "507 E. WATSON BLVD.",
            "city": "DAINGERFIELD",
            "state": "TX",
            "postal_code": "756382013",
            "telephone_number": "903-645-3915",
            "fax_number": "903-645-7250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "507 E. WATSON BLVD",
            "city": "DAINGERFIELD",
            "state": "TX",
            "postal_code": "756012013",
            "telephone_number": "903-645-3915",
            "fax_number": "903-645-2288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J. NISSI HEALTHCARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-03",
        "last_updated": "2012-02-23",
        "status": "A",
        "authorized_official_last_name": "DELORME",
        "authorized_official_first_name": "JAN",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "903-645-3915",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TX",
            "license": "109359",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000456806",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Windsor Place Nursing Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Elitecare DME LLC
• Fannin County Hospital Authority (Capstone Healthcare of Daingerfield)
• Morgan Frost, SLP
• Alvin Eugene Hinson, RPH
• J Jireh LLC (Windsor Place)
• Thomas Edell Jenkins, PTA
• Jerel Lynn Kerby, R.PH.
• Lynn S. Lain, SLP
• Trey Matthew Latiolais, D.D.S.
• James David Lewis, D.C.

• Skilled Nursing Facility in Daingerfield, TX
• Providers in Daingerfield, TX by specialty
• Skilled Nursing Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2012; 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.