Healthcare Provider Details

I. General information

NPI: 1497078877
Provider Name (Legal Business Name): WINDSOR COURT ASSISTED LIVING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/12/2010
Last Update Date: 03/12/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

201 SOUTH SUNRISE WAY
PALM SPRINGS CA
92262-6738
US

IV. Provider business mailing address

201 SOUTH SUNRISE WAY
PALM SPRINGS CA
92262-6738
US

V. Phone/Fax

Practice location:
  • Phone: 760-327-8351
  • Fax: 760-327-8259
Mailing address:
  • Phone: 760-327-8351
  • Fax: 760-327-8259

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number336403366
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code315D00000X
TaxonomyInpatient Hospice
License Number336403366
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number336403366
License Number StateCA

VIII. Authorized Official

Name: MRS. JEANNE L. RELLER-BROWNSTEIN
Title or Position: ADMINISTRATOR
Credential: R.N.
Phone: 760-327-8351