# WINDSOR HAMPTON CARE CENTER, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Windsor Hampton Care Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1629114178
- **Authorized official:** MR. LAWRENCE FIEGEN (CHIEF OPERATING OFFICER)
- **Authorized official phone:** (310) 382-1090

## Contact information

- **Practice address:** 442 E HAMPTON ST, STOCKTON, CA 95204-5519
- **Practice address phone:** (209) 466-0456
- **Practice address fax:** (209) 466-2796
- **Mailing address:** 442 E HAMPTON ST, STOCKTON, CA 95204-5519
- **Mailing address phone:** (209) 466-0456
- **Mailing address fax:** (209) 466-2796

## Taxonomy

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

## Other

- **Enumeration date:** 01/30/2007
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | ZZR06324I | — | CA |