MEDICARE: WESTMINSTER CANTERBURY OF WINCHESTER 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	NH2688	VA

Other Identifiers

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

General Provider Information

NPI Number	:	1851387138
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WESTMINSTER CANTERBURY OF WINCHESTER INC

Provider Business Mailing Address
First Line	:	300 WESTMINSTER CANTERBURY DR
Second Line	:
City	:	WINCHESTER
State	:	VA
Zip	:	22603-4216
Country	:	US
Telephone Number	:	540-665-0156
Fax Number	:	540-665-9781

Provider Business Practice Location Address
First Line	:	300 WESTMINSTER CANTERBURY DR
Second Line	:
City	:	WINCHESTER
State	:	VA
Zip	:	22603-4216
Country	:	US
Telephone Number	:	540-665-0156
Fax Number	:	540-665-9781

Authorized Official
Title or Position	:	CFO
Name	:	DUANE WERNECKE
Credential	:
Telephone Number	:	540-665-0156

Provider Enumeration Date	:	09/22/2005
Last Update Date	:	04/18/2013

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