Windsor Palm Valley, LLC
Skilled Nursing Facility in Goodyear, AZ. Organization (NPI-2).
NPI number1295084440
StatusActive
Last updated in NPPESApr 30, 2013
Details
- NPI
- 1295084440
- Entity type
- Organization (NPI-2)
- Legal business name
- Windsor Palm Valley, LLC
- Organization subpart
- No
- Enumeration date
- Sep 4, 2012
- Last updated
- Apr 30, 2013
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 314000000X | Skilled Nursing Facility | – | – | Yes |
Other names
- Palm Valley Rehabilitation & Care Center (Doing Business As)
Practice location
13575 W McDowell RdGoodyear, AZ 85395-2604
Phone 623-536-9911 · Fax 623-536-9502
Mailing address
9200 W Sunset BlvdWest Hollywood, CA 90069-3502
Phone 310-385-1076 · Fax 310-595-3736
Authorized official
Lee Samson
Managing Member, Windsor Omg Holdin
3103851090
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Skilled Nursing Facility providers in Goodyear, AZ
Checking a whole list?
Paste a list of NPIs and get status, record, Medicare enrollment and OIG exclusion for each one. 10 free a day, then credits from $29 for 5,000. Useful for credentialing, billing and pharmacy claim checks.