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NPI Code Detail

MEDICARE: WESTMINSTER-CANTERBURY ON CHESAPEAKE BAY

MEDICARE: WESTMINSTER-CANTERBURY ON CHESAPEAKE BAY
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
1310400000XAssisted Living FacilityELO2006174VA
2313M00000XNursing Facility/Intermediate Care FacilityNH2724VA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1073541645
Entity Type Code : Organization
Provider Name (Legal Business Name) : WESTMINSTER-CANTERBURY ON CHESAPEAKE BAY
Provider Business Mailing Address
First Line : 3100 SHORE DR
Second Line :
City : VIRGINIA BEACH
State : VA
Zip : 23451-1199
Country : US
Telephone Number : 757-496-1194
Fax Number : 757-496-1122
Provider Business Practice Location Address
First Line : 3100 SHORE DR
Second Line :
City : VIRGINIA BEACH
State : VA
Zip : 23451-1199
Country : US
Telephone Number : 757-496-1194
Fax Number : 757-496-1122
Authorized Official
Title or Position : CFO
Name : MR. DAVID BRIAN MYERS
Credential :
Telephone Number : 757-496-1100
Provider Enumeration Date : 06/30/2006
Last Update Date : 08/26/2021

Similar Medicare Providers

1942353982 — KELLY ANNE POOLE M.S.,R.D.
Practice Location Address:
3100 SHORE DR
VIRGINIA BEACH, VA
23451-1199
Practice Phone: 757-496-1126
Practice Fax:
1942338306 — HELENE CHRISTINE SAUER NP
Practice Location Address:
3100 SHORE DR , WESTMINSTER-CANTERBURY
VIRGINIA BEACH, VA
23451-1199
Practice Phone: 757-496-1654
Practice Fax:
1528284940 — LISA SUE BELL APRN, BC, FNP
Practice Location Address:
3100 SHORE DR
VIRGINIA BEACH, VA
23451-1199
Practice Phone: 757-496-1654
Practice Fax: 757-496-1646
1730301243 — JANINE SCHWARTZ
Practice Location Address:
3100 SHORE DR
VIRGINIA BEACH, VA
23451-1199
Practice Phone: 757-496-1690
Practice Fax:
1255535118 — GABRIEL JULIAN BSPT
Practice Location Address:
3100 SHORE DR
VIRGINIA BEACH, VA
23451-1199
Practice Phone: 757-839-4848
Practice Fax:
1598961286 — MRS. ARLENE NMI POLIZZI LPTA
Practice Location Address:
3100 SHORE DR
VIRGINIA BEACH, VA
23451-1199
Practice Phone: 757-496-1690
Practice Fax: 757-496-1136

Directions to “WESTMINSTER-CANTERBURY ON CHESAPEAKE BAY ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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