# WINDSOR ELK GROVE CARE AND REHABILITATION, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Windsor Elk Grove Care and Rehabilitation Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1235275975
- **Authorized official:** MR. ASH CHAWLA (VP, FINANCE)
- **Authorized official phone:** (310) 385-1090

## Contact information

- **Practice address:** 9200 W SUNSET BLVD, SUITE 700, WEST HOLLYWOOD, CA 90069-3502
- **Practice address phone:** (310) 385-1090
- **Practice address fax:** (310) 595-3792
- **Mailing address:** 9461 BATEY AVE, ELK GROVE, CA 95624-2005
- **Mailing address phone:** (916) 685-9525
- **Mailing address fax:** (916) 685-3373

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 100000001 | CA | Yes |

## Other

- **Enumeration date:** 01/29/2007
- **Last updated:** 03/28/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | ZZR05308I | — | CA |