Provider Demographics
NPI:1033445226
Name:WINDSOR NURSING CENTER PARTNERS OF GALVESTON, LTD.
Entity Type:Organization
Organization Name:WINDSOR NURSING CENTER PARTNERS OF GALVESTON, LTD.
Other - Org Name:WINDSOR NURSING AND REHABILITATION CENTER OF GALVESTON
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO/PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:HEBER
Authorized Official - Middle Name:S
Authorized Official - Last Name:LACERDA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:361-576-0694
Mailing Address - Street 1:2228 SEAWALL BLVD
Mailing Address - Street 2:
Mailing Address - City:GALVESTON
Mailing Address - State:TX
Mailing Address - Zip Code:77550-8940
Mailing Address - Country:US
Mailing Address - Phone:361-576-0694
Mailing Address - Fax:361-576-5484
Practice Address - Street 1:2228 SEAWALL BLVD
Practice Address - Street 2:
Practice Address - City:GALVESTON
Practice Address - State:TX
Practice Address - Zip Code:77550-8940
Practice Address - Country:US
Practice Address - Phone:361-576-0694
Practice Address - Fax:361-576-5484
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-23
Last Update Date:2009-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
No313M00000XNursing & Custodial Care FacilitiesNursing Facility/Intermediate Care Facility