Provider Demographics
NPI:1811962426
Name:WINDSONG CARE CENTER
Entity type:Organization
Organization Name:WINDSONG CARE CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:ZIMMER
Authorized Official - Suffix:
Authorized Official - Credentials:LNHA
Authorized Official - Phone:330-666-7373
Mailing Address - Street 1:120 BROOKMONT RD
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44333-3057
Mailing Address - Country:US
Mailing Address - Phone:330-666-7373
Mailing Address - Fax:330-666-7595
Practice Address - Street 1:120 BROOKMONT RD
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44333-3057
Practice Address - Country:US
Practice Address - Phone:330-666-7373
Practice Address - Fax:330-666-7595
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-02-18
Last Update Date:2008-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH6287314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2351646Medicaid
OH365707Medicare UPIN
OH365707Medicare ID - Type UnspecifiedMEDICARE NUMBER