WINDERMERE HEALTH AND REHABILITATION CENTER
NPI 1205386596
Skilled Nursing Facility in Augusta, GA

NPI Status: Active since October 11, 2016

Contact Information

3618 J DEWEY GRAY CIR
AUGUSTA, GA
ZIP 30909
Phone: (706) 860-7572

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  • Organization
  • Skilled Nursing Facility
  • CLIA Number: 11D2130983
  • CLIA Cert. Type: Skilled Nursing Facility/Nursing Facility
  • CLIA Exp. Date: 05-21-2027

About WINDERMERE HEALTH AND REHABILITATION CENTER

This page provides the complete NPI Profile along with additional information for Windermere Health And Rehabilitation Center, a provider established in Augusta, Georgia operating as a Skilled Nursing Facility. The healthcare provider is registered in the NPI registry with number 1205386596 assigned on October 2016. The practitioner's primary taxonomy code is 314000000X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The provider's is doing business as Windermere Health And Rehabilitation Center. The authorized official of this NPI record is Kelle C Santoro (Sr Director Ar)

NPI
1205386596
Provider Legal Name
WINDERMERE OPERATING COMPANY LLC
Other Organization Name
WINDERMERE HEALTH AND REHABILITATION CENTER
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
3618 J DEWEY GRAY CIR AUGUSTA, GA 30909
Location Phone
(706) 860-7572
Mailing Address
5300 W SAM HOUSTON PKWY N SUITE 100 HOUSTON, TX 77041
Mailing Phone
(832) 467-6000
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-11-2016
Last Update Date
11-17-2020
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Skilled Nursing Facility

Taxonomy Code
314000000X
Type
Nursing & Custodial Care Facilities
Taxonomy Description
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

KELLE C SANTORO

Authorized Official Title
SR DIRECTOR AR
Authorized Official Phone
(832) 467-5728

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
11D2130983
Facility Type
Skilled Nursing Facility/Nursing Facility
Certificate Effective Date
May 22, 2025
Certificate Expiration Date
May 21, 2027
Laboratory Director
LISA SAMS
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Windermere Health And Rehabilitation Center to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for WINDERMERE HEALTH AND REHABILITATION CENTER

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1205386596
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
22056812518
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 0 + 5 + 6 + 8 + 1 + 2 + 5 + 1 + 8 + 24 = 64
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 64 = 66

The NPI number 1205386596 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 8 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1144469156 TIFFANY NICOLE CURTIS RN
Individual
Registered Nurse3618 J DEWEY GRAY CIR
AUGUSTA, GA 30909
(706) 860-7572
1023677440 LAURA B FERGUSON OTA
Individual
Occupational Therapy Assistant3618 J DEWEY GRAY CIR
AUGUSTA, GA 30909
(706) 860-7572
1730749334 TONIA SMITH CUMMINGS
Individual
Occupational Therapy Assistant3618 J DEWEY GRAY CIR
AUGUSTA, GA 30909
(706) 860-7572
1063060432 DONNA JEAN BYERS
Individual
Physical Therapy Assistant3618 J DEWEY GRAY CIR
AUGUSTA, GA 30909
(706) 860-7572
1952959314 KATHRYN LEE WEATHERSBEE COTA/L
Individual
Occupational Therapy Assistant3618 J DEWEY GRAY CIR
AUGUSTA, GA 30909
(706) 860-7574
1093459893WINDERMERE HEALTH CENTER BY HARBORVIEW, LLC
Organization
Skilled Nursing Facility3618 J DEWEY GRAY CIR
AUGUSTA, GA 30909
(706) 860-7572
1053930347 SARAH ANN SPELLMAN NP
Individual
Nurse Practitioner (Family)3618 J DEWEY GRAY CIR
AUGUSTA, GA 30909
(731) 394-1145
1114642980 LUIZA ROESE CROSBY
Individual
Nurse Practitioner3618 J DEWEY GRAY CIR
AUGUSTA, GA 30909
(731) 394-1145

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1205386596, enumerated in the NPI registry as an "organization" on October 11, 2016

The provider is located at 3618 J Dewey Gray Cir Augusta, Ga 30909 and the phone number is (706) 860-7572

This medical organization specializes in Skilled Nursing Facility with taxonomy code 314000000X

The provider's CLIA number is 11D2130983 for a "skilled nursing facility/nursing facility" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on October 11, 2016. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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