WINDSOR CARE CENTER OF PETALUMA LLC
NPI 1255622817
Skilled Nursing Facility in Petaluma, CA

Active since April 29, 2011CLIA 05D0604953 · Waiver
523 HAYES LN, PETALUMA, CA 94952(707) 763-2457(707) 347-4705 Get Directions Write a Review

NPPES record last updated: April 29, 2011. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Windsor Care Center Of Petaluma Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WINDSOR CARE CENTER OF PETALUMA LLC (NPI 1255622817) is a healthcare organization registered as a skilled nursing facility in Petaluma, California and active in the NPI registry since April 2011. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Ash Chawla, Vice President Of Finance, as its authorized official.

NPPES Registry Identity

NPI1255622817
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameWINDSOR CARE CENTER OF PETALUMA LLC
Location Address523 HAYES LNPetaluma, CA 94952-4011
Mailing Address9200 W Sunset Blvd, Suite 700West Hollywood, CA 90069-3502 · (310) 385-1090 · Fax (310) 595-3752
Fax(707) 347-4705
Organization SubpartNo
Authorized OfficialAsh ChawlaVice President Of Finance · (310) 385-1078
Enumeration DateApril 29, 2011
NPI 1255622817 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
License Licensed in CA · 010000010
Definition

(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.

523 HAYES LN, Petaluma, CA 94952

Other Identifiers 1

Medicare OSCAR/certification555703CA

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
05D0604953
Facility Type
Skilled Nursing Facility/Nursing Facility
Certificate Effective Date
September 01, 2024
Certificate Expiration Date
August 31, 2026
Laboratory Director
COLIN HAMBLIN
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Windsor Care Center Of Petaluma Llc 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.

Other Providers at the Same Location


The following 15 providers are registered at the same or a nearby location.

Psychologist (Clinical)
523 HAYES LN
PETALUMA, CA 94952
Psychologist (Clinical)
523 HAYES LN
PETALUMA, CA 94952
Psychologist (Clinical)
523 HAYES LN
PETALUMA, CA 94952
Psychologist (Clinical)
523 HAYES LN
PETALUMA, CA 94952
Psychologist (Clinical)
523 HAYES LN
PETALUMA, CA 94952
Psychologist (Clinical)
523 HAYES LN
PETALUMA, CA 94952
Skilled Nursing Facility
523 HAYES LN
PETALUMA, CA 94952
Skilled Nursing Facility
523 HAYES LN
PETALUMA, CA 94952
Physical Therapist
523 HAYES LN
PETALUMA, CA 94952
Occupational Therapist
523 HAYES LN
PETALUMA, CA 94952
Physical Therapist (Geriatrics)
523 HAYES LN
PETALUMA, CA 94952
Skilled Nursing Facility
523 HAYES LN
PETALUMA, CA 94952
Skilled Nursing Facility
523 HAYES LN
PETALUMA, CA 94952
Physical Therapy Assistant
523 HAYES LN
PETALUMA, CA 94952
Skilled Nursing Facility
523 HAYES LN
PETALUMA, CA 94952

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1255622817, enumerated as an "organization" on April 29, 2011.

The provider is located at 523 HAYES LN PETALUMA, CA 94952 and the phone number is (707) 763-2457.

Skilled Nursing Facility with taxonomy code 314000000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.