Provider Demographics
NPI:1356851927
Name:WINDSOR SKIES INC.
Entity Type:Organization
Organization Name:WINDSOR SKIES INC.
Other - Org Name:COMFORCARE HOME CARE SAN DIEGO REGION
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:PARESH
Authorized Official - Middle Name:
Authorized Official - Last Name:PANCHAL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:858-270-1700
Mailing Address - Street 1:24324 KNOLL CT
Mailing Address - Street 2:
Mailing Address - City:DIAMOND BAR
Mailing Address - State:CA
Mailing Address - Zip Code:91765-4308
Mailing Address - Country:US
Mailing Address - Phone:909-551-5291
Mailing Address - Fax:
Practice Address - Street 1:4901 MORENA BLVD STE 124
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92117-3373
Practice Address - Country:US
Practice Address - Phone:858-270-1700
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-10-09
Last Update Date:2017-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA374700200253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care