Provider Demographics
NPI:1568006377
Name:WINCHESTER OPERATOR LLC
Entity Type:Organization
Organization Name:WINCHESTER OPERATOR LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:SAM
Authorized Official - Middle Name:
Authorized Official - Last Name:ZARRABINIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-815-5800
Mailing Address - Street 1:8000 WESTPARK DR STE 495
Mailing Address - Street 2:
Mailing Address - City:MC LEAN
Mailing Address - State:VA
Mailing Address - Zip Code:22102-3100
Mailing Address - Country:US
Mailing Address - Phone:703-815-5800
Mailing Address - Fax:
Practice Address - Street 1:3619 COWAN HWY
Practice Address - Street 2:
Practice Address - City:WINCHESTER
Practice Address - State:TN
Practice Address - Zip Code:37398-4709
Practice Address - Country:US
Practice Address - Phone:931-967-9765
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-11-05
Last Update Date:2019-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility