Provider Demographics
NPI:1124356514
Name:WESTMINSTER-CANTERBURY OF LYNCHBURG, INC.
Entity Type:Organization
Organization Name:WESTMINSTER-CANTERBURY OF LYNCHBURG, INC.
Other - Org Name:WESTMINSTER AT HOME
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:KELLY
Authorized Official - Middle Name:
Authorized Official - Last Name:RILEY
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:434-386-3800
Mailing Address - Street 1:3311 OLD FOREST RD
Mailing Address - Street 2:SUITE 201
Mailing Address - City:LYNCHBURG
Mailing Address - State:VA
Mailing Address - Zip Code:24501-2912
Mailing Address - Country:US
Mailing Address - Phone:434-386-3800
Mailing Address - Fax:434-455-4905
Practice Address - Street 1:3311 OLD FOREST RD
Practice Address - Street 2:SUITE 201
Practice Address - City:LYNCHBURG
Practice Address - State:VA
Practice Address - Zip Code:24501-2912
Practice Address - Country:US
Practice Address - Phone:434-386-3800
Practice Address - Fax:434-455-4905
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-11-24
Last Update Date:2021-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA49-7665OtherMEDICARE PTAN