Provider Demographics
NPI:1851387138
Name:WESTMINSTER CANTERBURY OF WINCHESTER INC
Entity Type:Organization
Organization Name:WESTMINSTER CANTERBURY OF WINCHESTER INC
Other - Org Name:SHENANDOAH VALLEY WESTMINSTER CANTERBURY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:DUANE
Authorized Official - Middle Name:
Authorized Official - Last Name:WERNECKE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:540-665-0156
Mailing Address - Street 1:300 WESTMINSTER CANTERBURY DR
Mailing Address - Street 2:
Mailing Address - City:WINCHESTER
Mailing Address - State:VA
Mailing Address - Zip Code:22603-4216
Mailing Address - Country:US
Mailing Address - Phone:540-665-0156
Mailing Address - Fax:540-665-9781
Practice Address - Street 1:300 WESTMINSTER CANTERBURY DR
Practice Address - Street 2:
Practice Address - City:WINCHESTER
Practice Address - State:VA
Practice Address - Zip Code:22603-4216
Practice Address - Country:US
Practice Address - Phone:540-665-0156
Practice Address - Fax:540-665-9781
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-09-22
Last Update Date:2013-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VANH2688310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA4951654Medicaid
VA495165Medicare ID - Type Unspecified