Windsor Maryland Gardens, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

WINDSOR MARYLAND GARDENS, LLC

Doing business as

Maryland Gardens Care Center

Practice address

31 W Maryland Ave
Phoenix, AZ 85013-1227

Phone

(602) 265-7484

Fax

(602) 279-6030

NPI assigned

Sep 11, 2012

Organization subpart

No

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

Authorized official

Name

Lee Samson

Title

Managing Member, Windsor Omg Holdin

Phone

(310) 385-1090

Specialties & licenses 1

Addresses

Other names 1

• Maryland Gardens Care Center Doing business as

Locations

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

{
    "created_epoch": "1347321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350864000000",
    "number": "1942550645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9200 W SUNSET BLVD",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "900693502",
            "telephone_number": "310-385-1076",
            "fax_number": "310-595-3736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 W MARYLAND AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850131227",
            "telephone_number": "602-265-7484",
            "fax_number": "602-279-6030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINDSOR MARYLAND GARDENS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-11",
        "last_updated": "2012-10-22",
        "status": "A",
        "authorized_official_last_name": "SAMSON",
        "authorized_official_first_name": "LEE",
        "authorized_official_title_or_position": "MANAGING MEMBER, WINDSOR OMG HOLDIN",
        "authorized_official_telephone_number": "310-385-1090"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Maryland Gardens Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rachel Windham
• Robert Windisch Jr., MD
• Daniel James Windschill, DO
• Windsor Encanto Palms, LLC (Encanto Palms Assisted Living)
• Windsor Maryland Gardens, LLC (Maryland Gardens Care Center)
• Windsor Ridgecrest, LLC (Ridecrest Healthcare)
• Mara L Windsor, D.O.
• Billie Winegard
• Heather Winegard
• James A. Wineinger, MSW

• Skilled Nursing Facility in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Skilled Nursing Facility in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 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.