WINDSOR GARDENS CONVALESCENT HOSPITAL, INC (NPI# 1891872644) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891872644 |
| Entity Type | Organization |
| Organization Name | WINDSOR GARDENS CONVALESCENT HOSPITAL, INC |
| Other Organization Name | WINDSOR GARDENS CONVALESCENT HOSPITAL OF LOS ANGELES |
| Practice Address |
915 Crenshaw Blvd Los Angeles CA 90019-1938 |
| Practice Telephone | 3239375466 |
| Practice Fax Number | 3239396753 |
| Mailing Telephone | 3239375466 |
| Mailing Fax Number | 3239396753 |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. LAWRENCE FEIGEN (COO/CFO) |
| Authorized Official Telephone | 3103851090 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | CA | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | ZZT06194L | 05 |
| Other Name | Type Code |
|---|---|
| Windsor Gardens Convalescent Hospital of Los Angeles | Doing Business As Name - Organization |
| Street Address |
915 CRENSHAW BLVD |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90019-1938 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689239139 | Leo Vir Yparraguirre Cabigas | Physical Therapy Assistant | 915 Crenshaw Blvd, Los Angeles, CA 90019-1938 | 2019-05-09 |
| 1609340967 | Ashley S Nam | Occupational Therapy Assistant | 915 Crenshaw Blvd, Los Angeles, CA 90019-1938 | 2019-01-18 |
| 1700399144 | Denita Varghese | Physical Therapy Assistant | 915 Crenshaw Blvd, Los Angeles, CA 90019-1938 | 2017-11-08 |
| 1144745530 | April D Gonzales | Occupational Therapy Assistant | 915 Crenshaw Blvd, Los Angeles, CA 90019-1938 | 2017-08-07 |
| 1841672748 | Stephanie Burks | Occupational Therapy Assistant | 915 Crenshaw Blvd, Los Angeles, CA 90019-1938 | 2015-06-26 |
| 1679962799 | Jonalie Romo | Physical Therapy Assistant | 915 Crenshaw Blvd, Los Angeles, CA 90019-1938 | 2015-01-13 |
| 1851780159 | Celeste Dawn Schipper | Physical Therapy Assistant | 915 Crenshaw Blvd, Los Angeles, CA 90019-1938 | 2015-01-10 |
| 1356739056 | Jimi Jacob | Occupational Therapist | 915 Crenshaw Blvd, Los Angeles, CA 90019-1938 | 2015-01-03 |
| 1972991651 | Diana Distor Valenzuela | Occupational Therapy Assistant | 915 Crenshaw Blvd, Los Angeles, CA 90019-1938 | 2015-01-02 |
| 1447648266 | Bluma Dahlia Hoffman | Occupational Therapist | 915 Crenshaw Blvd, Los Angeles, CA 90019-1938 | 2014-12-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386299139 | Garfield Beach Cvs LLC | Durable Medical Equipment & Medical Supplies | 1302 South La Brea, Los Angeles, CA 90019 | 2019-08-08 |
| 1104383694 | 310 Recovery Inc. | Clinic/Center | 1723 1/2 Hauser Blvd, Los Angeles, CA 90019 | 2019-02-21 |
| 1184131328 | Sehyeong Son | Acupuncturist | 1722 Crenshaw Blvd, Los Angeles, CA 90019 | 2018-01-09 |
| 1285158154 | Vanessa A. Myrie | Social Worker | 5562 Packard St., Los Angeles, CA 90019 | 2017-08-01 |
| 1093241309 | Hamburger Home | Community/Behavioral Health | 4066 W. 17th Street, Los Angeles, CA 90019 | 2017-05-05 |
| 1639614779 | Jung Ho Kang | Acupuncturist | 903 S. Crenshaw Blvd #304a, Los Angeles, CA 90019 | 2016-12-28 |
| 1912353491 | Sung Won Lee | Acupuncturist | 4027 W. Pico Bl., Los Angeles, CA 90019 | 2016-05-13 |
| 1497188528 | Sfvcmhc | Community/Behavioral Health | 5754 San Vicente Blvd, 401, Los Angeles, CALIFORNIA 90019 | 2013-08-13 |
| 1467890160 | Denise Breheny | Lactation Consultant, Non-RN | 1053 Carmona Ave., Los Angeles, CA 90019 | 2013-06-05 |
| 1336483122 | Nancy Denise - Latten Davidson | Student in an Organized Health Care Education/Training Program | 4073-75 West Pico Blvd, Los Angeles, CA 90019 | 2012-11-16 |
| Find all providers in zip 90019 | ||||
| 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. |
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| 1245879709 | Pacifica Sakura Gardens Icf LLC | Skilled Nursing Facility | 325 S. Boyle Avenue, Los Angeles, CA 90033-3812 | 2020-01-02 |
| 1780179770 | Bedside Gtube Replacement and Management | Skilled Nursing Facility | 10420 S Figueroa St, Los Angeles, CA 90003-4424 | 2018-06-22 |
| 1053852772 | Carehome Doctors, Inc | Skilled Nursing Facility | 501 S Oxford Ave Apt 17, Los Angeles, CA 90020-4228 | 2017-03-14 |
| 1124567334 | Pmnp Medical Services Inc | Skilled Nursing Facility | 433 S Lake St Apt 214, Los Angeles, CA 90057-2740 | 2017-02-21 |
| 1124566229 | Resource Connect Staffing, LLC | Skilled Nursing Facility | 3654 W 60th St, Los Angeles, CA 90043-2906 | 2017-02-08 |
| 1932658010 | Golden State Homes, Inc. | Skilled Nursing Facility | 1409 N Normandie Ave, Los Angeles, CA 90027-5817 | 2016-09-29 |
| 1952768491 | Ryan Stybel Optometry Inc | Skilled Nursing Facility | 8045 Emerson Ave, Los Angeles, CA 90045-1406 | 2016-01-27 |
| 1194195164 | College Vista, LLC | Skilled Nursing Facility | 4681 North Eagle Rock Blvd, Los Angeles, CA 90041 | 2015-10-02 |
| 1922411735 | Avalon Post Acute LLC | Skilled Nursing Facility | 12029 Avalon Blvd, Los Angeles, CA 90061-2838 | 2014-06-09 |
| 1750633350 | Pasadena Meadows Nursing Center, Lp | Skilled Nursing Facility | 1141 S Beverly Dr, Floor 3, Los Angeles, CA 90035 | 2012-10-05 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90019 |
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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.