Provider Demographics
NPI:1083201354
Name:WP CHESTERFIELD HEALTH INVESTORS, LLC
Entity Type:Organization
Organization Name:WP CHESTERFIELD HEALTH INVESTORS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REIMBURSEMENT ANALYST
Authorized Official - Prefix:MR
Authorized Official - First Name:HENRY
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:VAUGHN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:240-595-6025
Mailing Address - Street 1:6701 COURTYARD RD
Mailing Address - Street 2:
Mailing Address - City:CHESTER
Mailing Address - State:VA
Mailing Address - Zip Code:23831-1430
Mailing Address - Country:US
Mailing Address - Phone:804-778-7777
Mailing Address - Fax:804-778-7774
Practice Address - Street 1:6701 COURTYARD RD
Practice Address - Street 2:
Practice Address - City:CHESTER
Practice Address - State:VA
Practice Address - Zip Code:23831-1430
Practice Address - Country:US
Practice Address - Phone:804-778-7777
Practice Address - Fax:804-778-7774
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-21
Last Update Date:2020-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311500000XNursing & Custodial Care FacilitiesAlzheimer Center (Dementia Center)