Provider Demographics
NPI:1689640583
Name:WESTMINISTER NURSING CENTER INC
Entity Type:Organization
Organization Name:WESTMINISTER NURSING CENTER INC
Other - Org Name:VALLEY NURSING CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:SANDRA
Authorized Official - Middle Name:P
Authorized Official - Last Name:LOFTIN
Authorized Official - Suffix:
Authorized Official - Credentials:CNHA
Authorized Official - Phone:828-632-8146
Mailing Address - Street 1:581 NC HIGHWAY 16 S
Mailing Address - Street 2:
Mailing Address - City:TAYLORSVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28681-9986
Mailing Address - Country:US
Mailing Address - Phone:828-632-8146
Mailing Address - Fax:828-635-1819
Practice Address - Street 1:581 NC HIGHWAY 16 S
Practice Address - Street 2:
Practice Address - City:TAYLORSVILLE
Practice Address - State:NC
Practice Address - Zip Code:28681-9986
Practice Address - Country:US
Practice Address - Phone:828-632-8146
Practice Address - Fax:828-635-1819
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-02-28
Last Update Date:2016-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC9531522278S1500X, 314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing FacilityGroup - Single Specialty
No2278S1500XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, CertifiedSNF/Subacute CareGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC3475247Medicaid
NC0095XOtherBLUE CROSS BLUE SHIELD IN
NC953152OtherFACILITY ID
NC3425247Medicaid
NCNH0381OtherLICENSE
1689640583OtherNPI
NC0095TOtherBLUE CROSS BLUE SHIELD IN
NC0095TOtherBLUE CROSS BLUE SHIELD IN