MARYLAND GARDENS CARE CENTER
NPI 1942550645
Skilled Nursing Facility in Phoenix, AZ

Active since September 11, 2012CLIA 03D0526658 · Waiver
31 W MARYLAND AVE, PHOENIX, AZ 85013(602) 265-7484(602) 279-6030 Get Directions Write a Review

NPPES record last updated: October 22, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Maryland Gardens Care Center NPPES

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

MARYLAND GARDENS CARE CENTER (NPI 1942550645) is a healthcare organization registered as a skilled nursing facility in Phoenix, Arizona and active in the NPI registry since September 2012. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Lee Samson, Managing Member, Windsor Omg Holdin, as its authorized official.

NPPES Registry Identity

NPI1942550645
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameWINDSOR MARYLAND GARDENS, LLC
Location Address31 W MARYLAND AVEPhoenix, AZ 85013-1227
Mailing Address9200 W Sunset BlvdWest Hollywood, CA 90069-3502 · (310) 385-1076 · Fax (310) 595-3736
Fax(602) 279-6030
Organization SubpartNo
Authorized OfficialLee SamsonManaging Member, Windsor Omg Holdin · (310) 385-1090
Enumeration DateSeptember 11, 2012
Last NPPES UpdateOctober 22, 2012
NPI 1942550645 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.

31 W MARYLAND AVE, Phoenix, AZ 85013

Other Names 1

Doing Business AsMaryland Gardens Care Center

Other Identifiers 1

Medicare OSCAR/certification035247AZ

Accepted Insurance

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 03D0526658

Maryland Gardens Post Acute · Phoenix, AZ
Active · expires Aug 31, 2026
CLIA Number03D0526658
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorRandolph Aaron Clark
Laboratory Phone(602) 265-7484
Laboratory LocationMaryland Gardens Post Acute31 W Maryland Ave, Phoenix, AZ 85013
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Skilled Nursing Facility
31 W MARYLAND AVE
PHOENIX, AZ 85013
Alzheimer Center (Dementia Center)
31 W MARYLAND AVE
PHOENIX, AZ 85013
Alzheimer Center (Dementia Center)
31 W MARYLAND AVE
PHOENIX, AZ 85013
Assisted Living Facility
31 W MARYLAND AVE
PHOENIX, AZ 85013
Skilled Nursing Facility
31 W MARYLAND AVE
PHOENIX, AZ 85013
General Practice
31 W MARYLAND AVE
PHOENIX, AZ 85013

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 Maryland Gardens, LLC's NPI number?

The NPI number for Windsor Maryland Gardens, LLC is 1942550645. It was assigned to this organization in the NPPES registry on September 11, 2012. The provider is doing business as Maryland Gardens Care Center.

Where is Windsor Maryland Gardens, LLC located?

Windsor Maryland Gardens, LLC is located at 31 W Maryland Ave, Phoenix, AZ 85013. The listed phone number is (602) 265-7484.

What is Windsor Maryland Gardens, LLC's specialty?

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

Does Windsor Maryland Gardens, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 03D0526658) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Windsor Maryland Gardens, LLC accept?

Health plans from UnitedHealthcare list Windsor Maryland Gardens, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Windsor Maryland Gardens, LLC was last updated on October 22, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.