Provider Demographics
NPI:1497737472
Name:WESTMINSTER MANOR
Entity Type:Organization
Organization Name:WESTMINSTER MANOR
Other - Org Name:THE ARBOUR AT WESTMINSTER MANOR
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ASSOCIATE EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:
Authorized Official - Last Name:LOYD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:512-600-7313
Mailing Address - Street 1:4100 JACKSON AVE
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78731-6056
Mailing Address - Country:US
Mailing Address - Phone:512-454-2140
Mailing Address - Fax:512-458-5713
Practice Address - Street 1:4100 JACKSON AVE
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78731-6056
Practice Address - Country:US
Practice Address - Phone:124-542-1405
Practice Address - Fax:512-458-5713
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-11-16
Last Update Date:2019-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX000176314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX000176OtherLICENSED NURSING FACILITY
TX676099Medicare Oscar/Certification