Provider Demographics
NPI:1508325077
Name:WINDSOR HILL RCF, LLC
Entity Type:Organization
Organization Name:WINDSOR HILL RCF, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:UILLAMIS
Authorized Official - Middle Name:
Authorized Official - Last Name:DA SILVA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:843-442-7173
Mailing Address - Street 1:4048 ASHLEY PHOSPHATE RD
Mailing Address - Street 2:
Mailing Address - City:NORTH CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29418-8547
Mailing Address - Country:US
Mailing Address - Phone:843-442-7173
Mailing Address - Fax:888-506-5790
Practice Address - Street 1:1131 BEXLEY ST
Practice Address - Street 2:
Practice Address - City:NORTH CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29405-4726
Practice Address - Country:US
Practice Address - Phone:843-442-7173
Practice Address - Fax:888-506-5790
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-14
Last Update Date:2019-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility