WINDSOR PLACE NURSING CENTER
NPI 1790772994
Skilled Nursing Facility in Daingerfield, TX

Active since October 03, 2005CLIA 45D0482826 · Waiver
507 E. WATSON BLVD, DAINGERFIELD, TX 75601(903) 645-3915(903) 645-2288 Get Directions Write a Review

NPPES record last updated: February 23, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Windsor Place Nursing Center NPPES

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

WINDSOR PLACE NURSING CENTER (NPI 1790772994) is a healthcare organization registered as a skilled nursing facility in Daingerfield, Texas and active in the NPI registry since October 2005. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Jan W Delorme, President, as its authorized official.

NPPES Registry Identity

NPI1790772994
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameJ. NISSI HEALTHCARE, INC.
Location Address507 E. WATSON BLVDDaingerfield, TX 75601-2013
Mailing Address507 E. Watson Blvd.Daingerfield, TX 75638-2013 · (903) 645-3915 · Fax (903) 645-7250
Fax(903) 645-2288
Organization SubpartNo
Authorized OfficialJan W DelormePresident · (903) 645-3915
Enumeration DateOctober 3, 2005
Last NPPES UpdateFebruary 23, 2012
NPI 1790772994 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 TX · 109359
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.
507 E. WATSON BLVD, Daingerfield, TX 75601

Other Names 1

Doing Business AsWindsor Place Nursing Center

Other Identifiers 2

Medicare ID-Type Unspecified675755TX
Medicaid000456806TX

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 45D0482826

Windsor Place · Daingerfield, TX
Active · expires Aug 31, 2026
CLIA Number45D0482826
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorAmanda R. Hicks
Laboratory Phone(903) 645-3915
Laboratory LocationWindsor Place507 E W M Watson Boulevard, Daingerfield, TX 75638
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 J. Nissi Healthcare, Inc.'s NPI number?

The NPI number for J. Nissi Healthcare, Inc. is 1790772994. It was assigned to this organization in the NPPES registry on October 3, 2005. The provider is doing business as Windsor Place Nursing Center.

Where is J. Nissi Healthcare, Inc. located?

J. Nissi Healthcare, Inc. is located at 507 E. Watson Blvd, Daingerfield, TX 75601. The listed phone number is (903) 645-3915.

What is J. Nissi Healthcare, Inc.'s specialty?

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

Does J. Nissi Healthcare, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D0482826) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for J. Nissi Healthcare, Inc. was last updated on February 23, 2012. 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.