Organization Active NPI

J Jireh LLC

Doing business as Windsor Place

  • Skilled Nursing Facility
  • Daingerfield, TX
National Provider Identifier
1922445105
Registry record updated May 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
000000 Issued in TX
Legal business name
J JIREH LLC
Doing business as
Windsor Place
Practice address
507 E W M Watson Blvd
Daingerfield, TX 75638-2013
Phone
(903) 645-3915
Fax
(903) 645-2288
NPI assigned
May 29, 2013
Last updated
May 29, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2013

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

Authorized official

Name
Mr. Timothy C Thornton
Title
Member
Phone
(903) 746-5369

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 000000 TX Primary

Addresses

Primary practice location

507 E W M Watson Blvd
Daingerfield, TX 75638-2013

Mailing address

507 E W M Watson Blvd
Daingerfield, TX 75638-2013
Phone (903) 645-3915

Other identifiers 1

IdentifierTypeStateIssuer
004568MedicaidTX

Other names 1

  • Windsor Place Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D0482826Windsor Place507 E W M Watson Boulevard, Daingerfield, TX 75638Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1369785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369785600000",
    "number": "1922445105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "507 E W M WATSON BLVD",
            "city": "DAINGERFIELD",
            "state": "TX",
            "postal_code": "756382013",
            "telephone_number": "903-645-3915",
            "fax_number": "903-645-2288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "507 E W M WATSON BLVD",
            "city": "DAINGERFIELD",
            "state": "TX",
            "postal_code": "756382013",
            "telephone_number": "903-645-3915",
            "fax_number": "903-645-2288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J JIREH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-29",
        "last_updated": "2013-05-29",
        "status": "A",
        "authorized_official_last_name": "THORNTON",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "903-746-5369",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TX",
            "license": "000000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004568",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Windsor Place",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Daingerfield, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.