=====================================================
General NPI Number Information
=====================================================
NPI Number | 1689640583
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | WESTMINISTER NURSING CENTER INC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 02/28/2006
-----------------------------------------------------
Last Update Date | 09/09/2016
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 581 NC HIGHWAY 16 S
-----------------------------------------------------
City | TAYLORSVILLE
-----------------------------------------------------
State | NC
-----------------------------------------------------
Zip | 28681-9986
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 828-632-8146
-----------------------------------------------------
Fax | 828-635-1819
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 581 NC HIGHWAY 16 S
-----------------------------------------------------
City | TAYLORSVILLE
-----------------------------------------------------
State | NC
-----------------------------------------------------
Zip | 28681-9986
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 828-632-8146
-----------------------------------------------------
Fax | 828-635-1819
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT
-----------------------------------------------------
Name | MRS. SANDRA P LOFTIN
-----------------------------------------------------
Credential | CNHA
-----------------------------------------------------
Telephone | 828-632-8146
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 2278S1500X
-----------------------------------------------------
Taxonomy Name | SNF/Subacute Care Certified Respiratory Therapist
-----------------------------------------------------
License Number | 953152
-----------------------------------------------------
License Number State | NC
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 314000000X
-----------------------------------------------------
Taxonomy Name | Skilled Nursing Facility
-----------------------------------------------------
License Number | 953152
-----------------------------------------------------
License Number State | NC
-----------------------------------------------------