PHCC-WINDMILL VILLAGE REHABILITATION & HEALTH CARE CENTER, LLC (NPI# 1295020147) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295020147 |
| Entity Type | Organization |
| Organization Name | PHCC-WINDMILL VILLAGE REHABILITATION & HEALTH CARE CENTER, LLC |
| Other Organization Name | WINDMILL VILLAGE REHABILITATION & HEALTH CARE CENTER |
| Practice Address |
507 Martin Luther King Blvd Lubbock TX 79403-5211 |
| Mailing Address |
19115 Fm 2252 Suite 1 Garden Ridge TX 78266-2577 |
| Practice Telephone | 2105456320 |
| Practice Fax Number | 2105452730 |
| Mailing Telephone | 2105456320 |
| Mailing Fax Number | 2105452730 |
| Enumeration Date | 2011-06-17 |
| Last Update Date | 2014-05-29 |
| Authorized Official Name | MR. JAMES A MEYERS JR. (CEO) |
| Authorized Official Telephone | 2105456320 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | TX | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 001020457 | 05 |
| Other Name | Type Code |
|---|---|
| Windmill Village Rehabilitation & Health Care Center | Doing Business As Name - Organization |
| Street Address |
507 MARTIN LUTHER KING BLVD |
| City | LUBBOCK |
| State | TX |
| Zip Code | 79403-5211 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568928505 | City of Ennis | Skilled Nursing Facility | 507 Martin Luther King Blvd, Lubbock, TX 79403-5213 | 2019-02-14 |
| 1528466067 | Windmill Scc LLC | Skilled Nursing Facility | 507 Martin Luther King Blvd, Lubbock, TX 79403-5213 | 2014-12-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205484987 | Keisha Jones | Nurse Practitioner | 1406 Quinlan St, Lubbock, TX 79403 | 2019-08-27 |
| 1710254701 | Todd Patrick Faison | Specialist/Technologist | 1504 E. Itasca Ave., Lubbock, TX 79403 | 2011-11-19 |
| 1336341254 | Jerry Wade Lee | Pharmacist | 1950 Aspen, Lubbock, TX 79403 | 2007-06-04 |
| 1982726832 | The Adult Day Activity Center of Lubbock, Inc. | Clinic/Center | 2807 42nd Street, Lubbock, TX 79403 | 2007-04-04 |
| 1831118306 | Community Health Center of Lubbock, Inc | Clinic/Center | 1826 Parkway Dr, Suite 500, Lubbock, TX 79403 | 2006-07-18 |
| 1891768321 | Community Health Center of Lubbock, Inc | Clinic/Center | 406 Mlk Blvd, Lubbock, TX 79403 | 2006-02-07 |
| 1649425851 | Sue C Craig | Physical Therapy Assistant | 208 Country Club Dr, Lubbock, TX 79403-1010 | 2008-12-02 |
| 1447310834 | Arthur Richard Howard Jr. | Dentist | 1109 Kemper St, Lubbock, TX 79403-2523 | 2006-12-08 |
| 1316150626 | Deborah Isaacks | Registered Nurse | 1109 Kemper St, Lubbock, TX 79403-2523 | 2007-05-07 |
| 1588118376 | Joseph Jordan | Contractor | 2001 Kent St, Lubbock, TX 79403-2922 | 2016-08-09 |
| Find all providers in zip 79403 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033589213 | Rehab Care | Skilled Nursing Facility | 1717 Norfork Ave, Bldg A, Lubbock, TX 79416 | 2015-10-01 |
| 1275921959 | Hansford County Hospital District | Skilled Nursing Facility | 4910 Emory St, Lubbock, TX 79416-3026 | 2015-01-02 |
| 1881945335 | Lubbock II Enterprises, LLC | Skilled Nursing Facility | 5502 W 4th St, Lubbock, TX 79416-4220 | 2012-09-24 |
| 1629372610 | J F Heritage LLC | Skilled Nursing Facility | 6640 Iola Ave, Lubbock, TX 79424-7845 | 2011-01-05 |
| 1003904376 | Thi of Texas At Lubbock II, LLC | Skilled Nursing Facility | 1401 9th Street, Lubbock, TX 79401 | 2006-10-11 |
| 1215977582 | Stratford Hospital District | Skilled Nursing Facility | 5301 University, Lubbock, TX 79413 | 2006-06-07 |
| 1063461994 | Hansford County Hospital District | Skilled Nursing Facility | 4910 Emory, Lubbock, TX 79416 | 2006-05-08 |
| 1659353589 | Stratford Hospital District | Skilled Nursing Facility | 4710 Slide Rd, Lubbock, TX 79414-3404 | 2005-11-16 |
| 1437156171 | Senior Health-lakeside, LLC | Skilled Nursing Facility | 4306 24th St, Lubbock, TX 79410-1818 | 2005-07-07 |
| 1821091968 | Convacare Inc | Skilled Nursing Facility | 4403 74th St, Lubbock, TX 79424-2307 | 2005-05-23 |
| Find all providers in LUBBOCK | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.