NPIMap

Organization Active NPI

Presbyterian Retirement Communities, Inc.

Doing business as Westminster Oaks

  • Skilled Nursing Facility
  • Tallahassee, FL
National Provider Identifier
1194751610
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
SNF1599096 Issued in FL
Legal business name
PRESBYTERIAN RETIREMENT COMMUNITIES, INC.
Doing business as
Westminster Oaks
Practice address
4449 Meandering Way
Tallahassee, FL 32308-5740
Phone
(850) 878-1136
Fax
(850) 942-4924
NPI assigned
Jun 25, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Henry T Keith
Title
Chief Financial Officer
Phone
(407) 839-5050

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X SNF1599096 FL Primary

Addresses

Primary practice location

4449 Meandering Way
Tallahassee, FL 32308-5740

Mailing address

80 W Lucerne Cir
Orlando, FL 32801-3779
Phone (407) 839-5050

Other identifiers 1

IdentifierTypeStateIssuer
1222930004OtherFLDMERC SUPPLIER NUMBER

Other names 1

  • Westminster Oaks Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091208000637 FL Part A Provider - Skilled Nursing Facility 1557400348 Practice locations: Tallahassee, FL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1194751610. Details of each certification follow.

Skilled nursing facility certification: CCN 105854

Legal name
PRESBYTERIAN RETIREMENT COMMUNITIES, INC.
Doing business as
WESTMINSTER OAKS
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF distinct part
Participating since
Oct 1, 1993
Last certification
May 22, 2024
Beds
120
Ownership / control type
Nonprofit Corporation
Multi-facility organization
Westminster Communities of Florida
Organization structure
CorporationNon-profit
Incorporated
in FL
Enrollment address
4449 Meandering Way
Tallahassee, FL 32308-5710
Nursing home name
WESTMINSTER OAKS
Affiliated entity
WESTMINSTER COMMUNITIES OF FLORIDA

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Nursing home

Medicare Care Compare
Listed as
Westminster OaksCCN 105854 · All quality measures
Overall star rating
5 of 5
Health inspections
5 of 5
Staffing
4 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Corporation
Certified
Oct 1, 1993
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
120114.3 residents per day on average
Chain
Westminster Communities of Florida9 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D0723205Westminster Oaks4449 Meandering Way, Tallahassee, FL 32308Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory
Tax ID family
Presbyterian Retirement Communities Inc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 16

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
John Hillenmeyer Individual Corporate DirectorDirector Aug 19, 2009
Henry Keith Individual Corporate OfficerCeo/Cfo Aug 1, 2009
John Ramsey Individual Corporate DirectorDirector Jan 1, 2020
Stephen Dye Individual Corporate DirectorDirector Aug 19, 2009
Mary Ellen Early Individual Corporate DirectorDirector Jan 1, 2025
Donald D Doddridge Individual Corporate OfficerChairman Jan 1, 2025
Corporate DirectorDirector Jan 1, 2025
William Hull Individual Corporate DirectorDirector Jan 1, 2025
Jeffrey Mock Individual Corporate DirectorDirector Jan 1, 2020
William Bell Individual Corporate DirectorDirector Aug 19, 2009
Kristin Kutac Individual Corporate DirectorDirector Jan 1, 2025
John Debevoise Individual Corporate DirectorDirector Jan 1, 2020
Scott Bell Individual Operational/Managerial Control Aug 1, 2022
Adp of the SNF Apr 16, 2025
Casey Nicole Rust Individual Operational/Managerial Control Dec 1, 2022
Adp of the SNF Apr 16, 2025
Carlen Maddux Individual Corporate DirectorDirector Jan 1, 2020
Westminster Services Inc Organization, Orlando, FL Corporation, Management services company, Non-profit, Chain home office Operational/Managerial Control Aug 18, 1995
Linda Shelley Individual Corporate DirectorDirector Jan 1, 2020

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Westminster Baldwin ParkOrlando, FL, CCN 106118 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Oct 29, 2014

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 6

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Affiliated clinicians 14

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 14

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1194751610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 W LUCERNE CIR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328013779",
            "telephone_number": "407-839-5050",
            "fax_number": "407-849-1718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4449 MEANDERING WAY",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323085740",
            "telephone_number": "850-878-1136",
            "fax_number": "850-942-4924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESBYTERIAN RETIREMENT COMMUNITIES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KEITH",
        "authorized_official_first_name": "HENRY",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "407-839-5050",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "FL",
            "license": "SNF1599096",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMERC SUPPLIER NUMBER",
            "identifier": "1222930004",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Westminster Oaks",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tallahassee, FL

Sources for this page

Verify at the official NPI Registry.