Provider Demographics
NPI:1952524100
Name:WESTMINSTER VILLAGE
Entity Type:Organization
Organization Name:WESTMINSTER VILLAGE
Other - Org Name:WESTMINSTER VILLAGE HOME HEALTH SERVICES
Other - Org Type:Other Name
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:ANNE
Authorized Official - Middle Name:ELIZABETH
Authorized Official - Last Name:ENOS
Authorized Official - Suffix:
Authorized Official - Credentials:RN, MSN, CNAA, BC
Authorized Official - Phone:480-451-2059
Mailing Address - Street 1:12000 N 90TH ST
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85260-8604
Mailing Address - Country:US
Mailing Address - Phone:480-451-2059
Mailing Address - Fax:480-451-2202
Practice Address - Street 1:12000 N 90TH ST
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85260-8604
Practice Address - Country:US
Practice Address - Phone:480-451-2059
Practice Address - Fax:480-451-2202
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-10
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZHHA 1383251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health