Windsor Encanto Palms, LLC

Primary specialty

Alzheimer Center (Dementia Center)Taxonomy code 311500000X

License

ALC4966C Issued in AZ

Legal business name

WINDSOR ENCANTO PALMS, LLC

Doing business as

Encanto Palms Assisted Living

Practice address

3901 W Encanto Blvd
Phoenix, AZ 85009-1241

Phone

(602) 352-0000

Fax

(602) 272-6533

NPI assigned

Jan 14, 2013

Organization subpart

No

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

Authorized official

Name

Lisa Krohn

Title

Executive Director

Phone

(602) 352-0000

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Encanto Palms Assisted Living Doing business as

Locations

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

{
    "created_epoch": "1358121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360627200000",
    "number": "1962749770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3901 W ENCANTO BLVD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850091241",
            "telephone_number": "602-352-0000",
            "fax_number": "602-272-6533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 W ENCANTO BLVD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850091241",
            "telephone_number": "602-352-0000",
            "fax_number": "602-272-6533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINDSOR ENCANTO PALMS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-14",
        "last_updated": "2013-02-12",
        "status": "A",
        "authorized_official_last_name": "KROHN",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "602-352-0000"
    },
    "taxonomies": [
        {
            "code": "311500000X",
            "taxonomy_group": "",
            "desc": "Alzheimer Center (Dementia Center)",
            "state": "AZ",
            "license": "ALC4966C",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "768788",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Encanto Palms Assisted Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Karen Wind, MA, LPC, NCC, CSOTS
• Nicholas Burke Windauer, DMD
• Rachel Windham
• Robert Windisch Jr., MD
• Daniel James Windschill, DO
• Windsor Maryland Gardens, LLC (Maryland Gardens Care Center)
• Windsor Maryland Gardens, LLC (Maryland Gardens Care Center)
• Windsor Ridgecrest, LLC (Ridecrest Healthcare)
• Mara L Windsor, D.O.
• Billie Winegard

• Alzheimer Center (Dementia Center) in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Alzheimer Center (Dementia Center) in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2013; 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.