Provider Demographics
NPI:1922283407
Name:WESTVIEW II
Entity Type:Organization
Organization Name:WESTVIEW II
Other - Org Name:WESTVEW II
Other - Org Type:Other Name
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:DR
Authorized Official - First Name:FRED
Authorized Official - Middle Name:RALPH
Authorized Official - Last Name:WEST
Authorized Official - Suffix:
Authorized Official - Credentials:MD,
Authorized Official - Phone:202-526-8222
Mailing Address - Street 1:74 W ST NW
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20001-1014
Mailing Address - Country:US
Mailing Address - Phone:202-332-1707
Mailing Address - Fax:
Practice Address - Street 1:3200 12TH ST NE
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20017-4003
Practice Address - Country:US
Practice Address - Phone:202-332-1707
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:WESTVIEW II
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-01-03
Last Update Date:2008-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCHFD0202023104A0625X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3104A0625XNursing & Custodial Care FacilitiesAssisted Living FacilityAssisted Living, Mental Illness