# WINDSOR RIDGECREST, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Ridecrest Healthcare
- **Organization subpart:** No

## Provider details

- **NPI number:** 1316297013
- **Authorized official:** LEE SAMSON (MANAGING MEMBER, WINDSOR OMG HOLDIN)
- **Authorized official phone:** (310) 385-1090

## Contact information

- **Practice address:** 16640 N 38TH ST, PHOENIX, AZ 85032-2103
- **Practice address phone:** (602) 482-6671
- **Practice address fax:** (602) 482-3541
- **Mailing address:** 9200 SUNSET BLVD., SUITE 700 C/O S&F MANAGEMENT COMPANY, LLC,, WEST HOLLYWOOD, CA 90069-3603
- **Mailing address phone:** (310) 385-1076
- **Mailing address fax:** (310) 595-3736

## Taxonomy

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

## Other

- **Enumeration date:** 09/11/2012
- **Last updated:** 04/30/2013