Provider Demographics
NPI:1275922031
Name:WYNDEMERE SENIOR CARE, LLC
Entity Type:Organization
Organization Name:WYNDEMERE SENIOR CARE, LLC
Other - Org Name:WYNSCAPE HEALTH & REHABILITATION
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER OF THE M/M OF THE M/M
Authorized Official - Prefix:
Authorized Official - First Name:MARTIN
Authorized Official - Middle Name:
Authorized Official - Last Name:STEINBERGER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:407-999-2400
Mailing Address - Street 1:1000 LEGION PL
Mailing Address - Street 2:1750
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32801-1058
Mailing Address - Country:US
Mailing Address - Phone:407-999-2400
Mailing Address - Fax:407-999-7759
Practice Address - Street 1:2180 MANCHESTER RD
Practice Address - Street 2:
Practice Address - City:WHEATON
Practice Address - State:IL
Practice Address - Zip Code:60187-4580
Practice Address - Country:US
Practice Address - Phone:630-665-4330
Practice Address - Fax:630-665-3181
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-01-16
Last Update Date:2015-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility