MEDICARE: WINDSOR NURSING HOME ASSOCIATES, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	314000000X	Skilled Nursing Facility	N085004	KS

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	392	OTHER	KS	KS BCBS PROVIDER #
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1275528374
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WINDSOR NURSING HOME ASSOCIATES, INC.

Provider Business Mailing Address
First Line	:	623 S 3RD ST
Second Line	:
City	:	SALINA
State	:	KS
Zip	:	67401-4104
Country	:	US
Telephone Number	:	785-825-6757
Fax Number	:	785-825-8019

Provider Business Practice Location Address
First Line	:	623 S 3RD ST
Second Line	:
City	:	SALINA
State	:	KS
Zip	:	67401-4104
Country	:	US
Telephone Number	:	785-825-6757
Fax Number	:	785-825-8019

Authorized Official
Title or Position	:	DIRECTOR OF OPERATIONS
Name	:	MRS. DORIS A MCCALL
Credential	:
Telephone Number	:	785-825-6757

Provider Enumeration Date	:	09/14/2005
Last Update Date	:	07/10/2012

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