MEDICARE: WESTMINSTER-CANTERBURY OF HAMPTON ROADS, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	310400000X	Assisted Living Facility	ELO2006315	VA

General Provider Information

NPI Number	:	1043356454
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WESTMINSTER-CANTERBURY OF HAMPTON ROADS, INC.

Provider Business Mailing Address
First Line	:	3100 SHORE DR
Second Line	:
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23451-1199
Country	:	US
Telephone Number	:	757-496-1100
Fax Number	:

Provider Business Practice Location Address
First Line	:	7211 GRANBY ST
Second Line	:
City	:	NORFOLK
State	:	VA
Zip	:	23505-4001
Country	:	US
Telephone Number	:	757-440-7400
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT AND CEO
Name	:	MR. J. BENJAMIN UNKLE JR.
Credential	:
Telephone Number	:	757-496-1100

Provider Enumeration Date	:	01/30/2007
Last Update Date	:	09/16/2010

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