# WINDSOR MODESTO HEALTHCARE, LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Windsor Post-Acute Healthcare Center of Modesto
- **Organization subpart:** No

## Provider details

- **NPI number:** 1285016188
- **Authorized official:** MR. LAWRENCE FEIGEN (MANAGING MEMBER)
- **Authorized official phone:** (310) 385-1090

## Contact information

- **Practice address:** 2030 EVERGREEN AVE, MODESTO, CA 95350-3785
- **Practice address phone:** (209) 577-1055
- **Mailing address:** 2030 EVERGREEN AVE, MODESTO, CA 95350-3785
- **Mailing address phone:** (209) 577-1055

## Taxonomy

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

## Other

- **Enumeration date:** 06/26/2015
- **Last updated:** 03/02/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 55-5118 | MEDICARE ID-TYPE UNSPECIFIED | CA |