Healthcare Provider Details

I. General information

NPI: 1013292986
Provider Name (Legal Business Name): WINDCREST HEALTHCARE CENTER, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/11/2011
Last Update Date: 03/04/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6050 HOSPITAL DR
ABILENE TX
79606-5252
US

IV. Provider business mailing address

6050 HOSPITAL DR
ABILENE TX
79606-5252
US

V. Phone/Fax

Practice location:
  • Phone: 325-692-1533
  • Fax:
Mailing address:
  • Phone: 325-692-1533
  • Fax: 325-698-1208

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code311500000X
TaxonomyAlzheimer Center (Dementia Center)
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: MR. TOM PAGET
Title or Position: SENIOR VICE PRESIDENT
Credential:
Phone: 410-427-2759