NPIMap

Organization Active NPI

Windsor Rosewood Care Center, LLC

  • Skilled Nursing Facility
  • Pleasant Hill, CA
National Provider Identifier
1831235290
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
WINDSOR ROSEWOOD CARE CENTER, LLC
Practice address
1911 Oak Park Blvd
Pleasant Hill, CA 94523-4601
Phone
(925) 935-6630
Fax
(925) 933-0583
NPI assigned
Jan 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Lawrence Fiegen
Title
Chief Operating Officer
Phone
(310) 385-1090

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X CA Primary

Addresses

Primary practice location

1911 Oak Park Blvd
Pleasant Hill, CA 94523-4601

Mailing address

1911 Oak Park Blvd
Pleasant Hill, CA 94523-4601
Phone (925) 935-6630

Other identifiers 1

IdentifierTypeStateIssuer
ZZR06476KMedicaidCA

Other names 1

  • Windsor Rosewood Care Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070719000270 CA Part A Provider - Skilled Nursing Facility 3072614171 Practice locations: Pleasant Hill, CA

Skilled nursing facility certification: CCN 056476

Legal name
WINDSOR ROSEWOOD CARE CENTER, LLC
Doing business as
ROSEWOOD POST ACUTE
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jul 1, 1977
Last certification
Sep 28, 2023
Beds
113
Ownership / control type
Corporation
Multi-facility organization
NewGEN
Organization structure
LLCProprietary
Incorporated
Jan 4, 2007 in DE
Enrollment address
1911 Oak Park Blvd
Pleasant Hill, CA 94523-4601
Nursing home name
ROSEWOOD POST ACUTE
Affiliated entity
WINDSOR

Care Compare: Nursing home

Medicare Care Compare
Listed as
Rosewood Post AcuteCCN 056476
Overall star rating
4 of 5
Health inspections
4 of 5
Staffing
3 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Jul 1, 1977
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
11399.1 residents per day on average
Chain
Windsor22 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 11

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
9560 Pico LLC Organization, Los Angeles, CA LLC, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Jun 30, 2023 50%
Pico Ar LLC Organization, Los Angeles, CA LLC, Holding company, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Jun 30, 2023 50%
Newgen Administrative Services, LLC Organization, Los Angeles, CA LLC Operational/Managerial Control Jun 30, 2023
Adp of the SNF Mar 21, 2025
Antelope Holdings I, LLC Organization, Los Angeles, CA LLC, Holding company, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Jun 30, 2023 100%
Antelope Realty Holdings I, LLC Organization, Los Angeles, CA LLC, Holding company Adp of the SNF Jun 16, 2025
Avrohom L Tress Individual 5% Or Greater Indirect Ownership Interest Jun 30, 2023 50%
Corporate OfficerVice President Aug 14, 2023
Pamela Shaw Individual Operational/Managerial Control Jun 30, 2023
Adp of the SNF Jun 30, 2023
Sri Vardhan Reddy Kooturu Individual Operational/Managerial Control May 1, 2017
Adp of the SNF May 1, 2017
Maggie Youssef Individual Operational/Managerial Control Jul 10, 2023
Adp of the SNF Jul 10, 2023
Windsor Norcal 13 Holdings LLC Organization, Los Angeles, CA LLC, Holding company, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Apr 1, 2007 100%
Aaron H Robin Individual 5% Or Greater Indirect Ownership Interest Jun 30, 2023 50%
Corporate OfficerPresident Aug 14, 2023

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 43

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 43

Practitioners & affiliated clinicians

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1831235290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1911 OAK PARK BLVD",
            "city": "PLEASANT HILL",
            "state": "CA",
            "postal_code": "945234601",
            "telephone_number": "925-935-6630",
            "fax_number": "925-933-0583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1911 OAK PARK BLVD",
            "city": "PLEASANT HILL",
            "state": "CA",
            "postal_code": "945234601",
            "telephone_number": "925-935-6630",
            "fax_number": "925-933-0583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINDSOR ROSEWOOD CARE CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FIEGEN",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "310-385-1090",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZR06476K",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Windsor Rosewood Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pleasant Hill, CA

Sources for this page

Verify at the official NPI Registry.