Provider Demographics
NPI:1902395437
Name:N & R OF WINDSOR HILLS LLC
Entity Type:Organization
Organization Name:N & R OF WINDSOR HILLS LLC
Other - Org Name:WINDSOR HILLS NURSING CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:JAY
Authorized Official - Middle Name:
Authorized Official - Last Name:TRUMBO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:502-254-9525
Mailing Address - Street 1:329 TOWNEPARK CIR
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40243-2348
Mailing Address - Country:US
Mailing Address - Phone:502-254-9525
Mailing Address - Fax:502-254-9524
Practice Address - Street 1:2416 N ANN ARBOR AVE
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73127-1811
Practice Address - Country:US
Practice Address - Phone:405-942-8566
Practice Address - Fax:405-946-4213
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-05-10
Last Update Date:2018-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility