Provider Demographics
NPI:1477677102
Name:WESTCHESTER RETIREMENT COMMUNITIES, INC.
Entity Type:Organization
Organization Name:WESTCHESTER RETIREMENT COMMUNITIES, INC.
Other - Org Name:GREENBRIAR MANSION
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CONSULTANT MANAGEMENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:JOHNNIE
Authorized Official - Middle Name:M
Authorized Official - Last Name:BENSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:817-535-3827
Mailing Address - Street 1:150 S BEACH ST
Mailing Address - Street 2:SUITE B
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76105-1162
Mailing Address - Country:US
Mailing Address - Phone:817-535-3827
Mailing Address - Fax:817-535-1362
Practice Address - Street 1:7865 OAKMONT BLVD
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76132-4204
Practice Address - Country:US
Practice Address - Phone:817-292-0792
Practice Address - Fax:817-535-1362
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-19
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX117835310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility