MEDICARE: WESTCHESTER RETIREMENT COMMUNITIES, 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	117835	TX

General Provider Information

NPI Number	:	1477677102
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WESTCHESTER RETIREMENT COMMUNITIES, INC.

Provider Business Mailing Address
First Line	:	150 S BEACH ST
Second Line	:	SUITE B
City	:	FORT WORTH
State	:	TX
Zip	:	76105-1162
Country	:	US
Telephone Number	:	817-535-3827
Fax Number	:	817-535-1362

Provider Business Practice Location Address
First Line	:	7865 OAKMONT BLVD
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76132-4204
Country	:	US
Telephone Number	:	817-292-0792
Fax Number	:	817-535-1362

Authorized Official
Title or Position	:	CONSULTANT MANAGEMENT
Name	:	MRS. JOHNNIE M BENSON
Credential	:
Telephone Number	:	817-535-3827

Provider Enumeration Date	:	03/19/2007
Last Update Date	:	08/22/2020

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