Windsor Healthcare Golden Palms LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

090000052 Issued in CA

Legal business name

WINDSOR HEALTHCARE GOLDEN PALMS LLC

Practice address

1201 34TH St
San Diego, CA 92102-2416

Phone

(619) 232-2946

Fax

(619) 232-4665

NPI assigned

Feb 27, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Lawrence E Fiegen

Title

Coo

Phone

(310) 385-1090

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Golden Hill Subacute and Rehabilitation Center Doing business as

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

{
    "created_epoch": "1140998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329091200000",
    "number": "1811963028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 34TH ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921022416",
            "telephone_number": "619-232-2946",
            "fax_number": "619-232-4665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 34TH ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921022416",
            "telephone_number": "619-232-2946",
            "fax_number": "619-232-4665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINDSOR HEALTHCARE GOLDEN PALMS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-27",
        "last_updated": "2012-02-13",
        "status": "A",
        "authorized_official_last_name": "FIEGEN",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "310-385-1090",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": "090000052",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZT06182K",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Golden Hill Subacute and Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Cecelia R Wind, MFC50559
• Elizabeth Wind
• Windansea, LLC
• Austin-Marley Windham-Herman, MD
• Ryder Windrem
• Windsor Skies Inc.
• Nelar Wine, MD
• Babbi J Winegarden, PHD
• Yvonne Winer
• Jennifer Janine Winesburg, D.O.

• Skilled Nursing Facility in San Diego, CA
• Providers in San Diego, CA by specialty
• Skilled Nursing Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 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.