Healthcare Provider Details

I. General information

NPI: 1184667941
Provider Name (Legal Business Name): WESTCHESTER GARDENS LIMITED PARTNERSHIP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/13/2006
Last Update Date: 04/06/2020
Certification Date: 04/06/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3301 N MCMULLEN BOOTH RD
CLEARWATER FL
33761-2014
US

IV. Provider business mailing address

1107 HAZELTINE BLVD SUITE 200
CHASKA MN
55318-1009
US

V. Phone/Fax

Practice location:
  • Phone: 727-785-8335
  • Fax: 727-789-0980
Mailing address:
  • Phone: 952-361-8000
  • Fax: 952-361-8058

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License NumberSNF1596096
License Number StateFL

VIII. Authorized Official

Name: MR. JAMES A. WEICHERT
Title or Position: LIMITED PARTNER
Credential:
Phone: 952-361-8000