Provider Demographics
NPI:1316582919
Name:CARADAY WINDCREST LLC
Entity Type:Organization
Organization Name:CARADAY WINDCREST LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUTHORIZED OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:GREG
Authorized Official - Middle Name:
Authorized Official - Last Name:MOORE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:210-637-2700
Mailing Address - Street 1:8800 FOURWINDS DR
Mailing Address - Street 2:
Mailing Address - City:WINDCREST
Mailing Address - State:TX
Mailing Address - Zip Code:78239-1918
Mailing Address - Country:US
Mailing Address - Phone:210-637-2700
Mailing Address - Fax:210-637-2799
Practice Address - Street 1:8800 FOURWINDS DR
Practice Address - Street 2:
Practice Address - City:WINDCREST
Practice Address - State:TX
Practice Address - Zip Code:78239-1918
Practice Address - Country:US
Practice Address - Phone:210-637-2700
Practice Address - Fax:210-637-2799
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-11-07
Last Update Date:2019-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility