WINDSOR PARK NURSING HOME, INC.
NPI 1639393168
Skilled Nursing Facility in Queens Village, NY

Active since April 13, 2007CLIA 33D0994635 · Waiver
5/5
Overall Rating
21240 HILLSIDE AVE, QUEENS VILLAGE, NY 11427(718) 468-0800 Get Directions Write a Review

NPPES record last updated: December 7, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Windsor Park Nursing Home, Inc. NPPES

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

WINDSOR PARK NURSING HOME, INC. (NPI 1639393168) is a healthcare organization registered as a skilled nursing facility in Queens Village, New York and active in the NPI registry since April 2007. The organization holds a CLIA Waiver certificate valid through March 26, 2027 and lists Beena Varghese, Administration, as its authorized official.

NPPES Registry Identity

NPI1639393168
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameWINDSOR PARK NURSING HOME, INC.
Location Address21240 HILLSIDE AVEQueens Village, NY 11427-1816
Mailing Address21240 Hillside AveQueens Village, NY 11427-1816
Organization SubpartNo
Authorized OfficialBeena VargheseAdministration · (718) 468-0800
Enumeration DateApril 13, 2007
Last NPPES UpdateDecember 7, 2011
NPI 1639393168 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
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.
21240 HILLSIDE AVE, Queens Village, NY 11427

Other Identifiers 2

Medicaid00930525NY
Medicare ID-Type Unspecified335155NY

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 33D0994635

Windsor Park Nursing Home · Queens Village, NY
Active · expires Mar 26, 2027
CLIA Number33D0994635
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateOctober 21, 2005
Certificate Expiration DateMarch 26, 2027
Laboratory DirectorDr. Kaymar D. Tavakoli
Laboratory Phone(718) 468-0800
Laboratory LocationWindsor Park Nursing Home212-40 Hillside Avenue, Queens Village, NY 11428
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Nursing Home Quality Ratings CMS Care Compare

Quality ratings, staffing and inspection history for Windsor Park Rehab & Nursing Center (CMS certification number 335155), from CMS Care Compare.

Windsor Park Rehab & Nursing Center

Nursing home · Queens Village, NY
5/5 CMS Overall Rating
OwnershipFor profit - Corporation
CMS Certification Number335155
Certified Beds70 beds59 residents per day on average
Medicare & Medicaid Participant SinceJuly 13, 1967
Resident & Family CouncilResident and family councils
Automatic sprinkler system

CMS Star Ratings

Quality Measures
Based on a select set of clinical quality measures.
2/5
Long-Stay Quality
Quality of care delivered to long-term residents.
4/5
Short-Stay Quality
Quality of care delivered to short-term and rehabilitation residents.
1/5
Staffing
Based on nursing staff hours relative to resident needs.
5/5
Weighted Health Inspection Score
Lower scores are better; the score summarizes deficiencies found on recent inspections.
7.33
Ratings are assigned by CMS on a one-to-five star scale; five is the highest. Categories without a current CMS rating are not shown.

Staffing & Turnover

Total Nurse Staffing
nurse aide 2.31 · LPN 0.58 · RN 1.06
3.95 hrs per resident per day
Weekend Nurse Staffing
3.14 hrs per resident per day
Physical Therapist Staffing
0.09 hrs per resident per day
Nursing Staff Turnover
Share of nursing staff who left the facility within the past year.
21%
Registered Nurse Turnover
18.8%
Administrators Who Have Left
In the past year.
0
Higher staffing hours generally allow more direct care time per resident.

Inspections & Enforcement

Facility-Reported Incidents
2
Substantiated Complaints
2
Fines
1 totaling $306,240.00
Medicare Payment Denials
0
Total Penalties
1
Counts come from CMS inspections and complaint investigations over approximately the past three years. CMS Care Compare data as of October 1, 2024.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Windsor Park Nursing Home, Inc.'s NPI number?

The NPI number for Windsor Park Nursing Home, Inc. is 1639393168. It was assigned to this organization in the NPPES registry on April 13, 2007.

Where is Windsor Park Nursing Home, Inc. located?

Windsor Park Nursing Home, Inc. is located at 21240 Hillside Ave, Queens Village, NY 11427. The listed phone number is (718) 468-0800.

What is Windsor Park Nursing Home, Inc.'s specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

Does Windsor Park Nursing Home, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D0994635) is associated with this NPI, valid through March 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Windsor Park Nursing Home, Inc. a Medicare-certified nursing home?

Yes. Windsor Park Rehab & Nursing Center is a Medicare-certified nursing home with 70 certified beds.

What quality rating does Windsor Park Nursing Home, Inc. have?

CMS rates Windsor Park Rehab & Nursing Center 5 out of 5 stars overall on Care Compare. The full measure detail is in the Nursing Home Quality Ratings section above.

When was this NPI record last updated?

The NPPES record for Windsor Park Nursing Home, Inc. was last updated on December 7, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.