WINDSOR GARDENS HEALTHCARE CENTER OF FULLERTON, LLC

NPI: 1578656427 · FULLERTON, CA 92832 · Skilled Nursing Facility · NPI assigned 10/02/2006

$88K

Total Medicaid Paid

6,870

Total Claims

658

Beneficiaries

Codes Billed

2019-08

First Month

2021-07

Last Month

Provider Details

Authorized Official	CHAWLA, ASH (VICE PRESIDENT FINANCE)
NPI Enumeration Date	10/02/2006

Other providers sharing the same authorized official: CHAWLA, ASH

Provider	City	State	Total Paid
BLYTHE/WINDSOR COUNTRY PARK HEALTHCARE CENTER, LLC	LONG BEACH	CA	$847K
WINDSOR CHEVIOT HILLS, LLC	LOS ANGELES	CA	$183K
S&F MARKET STREET HEALTHCARE, LLC	LONG BEACH	CA	$164K
WINDSOR CARE CENTER OF PETALUMA LLC	PETALUMA	CA	$83K
13000 VICTORY BOULEVARD, LLC	NORTH HOLLYWOOD	CA	$31K
WINDSOR CARE CENTER NATIONAL CITY, INC	NATIONAL CITY	CA	$0.00

Code	Description	Claims	Beneficiaries	Total Paid
97110	Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion	2,422	178	$80K
97530	Therapeutic activities, direct patient contact, each 15 minutes	2,517	164	$5K
97112	Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination	741	107	$1K
Q3014	Telehealth originating site facility fee	126	89	$558.32
97535	Self-care/home management training, each 15 minutes	586	82	$525.59
97116		215	25	$0.00
0420		263	13	$0.00