NPIMap

Organization Active NPI

Westminster-Canterbury Corporation

Doing business as Westminster-Canterbuy Richmond at Home, LLC

  • Home Health Agency
  • Richmond, VA
National Provider Identifier
1215448311
Registry record updated Oct 16, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
WESTMINSTER-CANTERBURY CORPORATION
Doing business as
Westminster-Canterbuy Richmond at Home, LLC
Practice address
1600 Westbrook Ave
Richmond, VA 23227-3311
Phone
(804) 292-3500
Fax
(804) 264-4568
NPI assigned
Oct 16, 2017
Organization subpart
Yes
Parent organization
WESTMINSTER-CANTERBURY CORPORATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 16, 2017

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

Authorized official

Name
Mr. William H. Blackwell
Title
Administrator
Phone
(804) 292-3500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

1600 Westbrook Ave
Richmond, VA 23227-3311

Mailing address

1600 Westbrook Ave
Richmond, VA 23227-3311
Phone (804) 292-3500

Other names 1

  • Westminster-Canterbuy Richmond at Home, LLC Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180215001169 VA Part A Provider - Home Health Agency 3577654219 Practice locations: Richmond, VA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1215448311. Details of each certification follow.

Home health agency certification: CCN 497755

Legal name
WESTMINSTER CANTERBURY CORPORATION
Doing business as
WESTMINSTER-CANTERBURY RICHMOND AT HOME, LLC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
May 30, 2018
Last certification
May 30, 2018
Ownership / control type
Non-Profit
Organization structure
LLCNon-profit
Incorporated
Jul 21, 2017 in VA
Enrollment address
1600 Westbrook Ave
Richmond, VA 23227-3337

Other NPIs with the same Medicare PAC ID 2

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

Care Compare: Home health agency

Medicare Care Compare
Listed as
Westminster Canterbury CorporationCCN 497755 · All quality measures
Overall star rating
2.5 of 5
Ownership
Non-Profit
Certified
May 30, 2018
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory
Tax ID family
Westminster-Canterbury Ipl3 organizations share this tax ID, including this one
Part of
Westminster-Canterbury Ipl

Other organizations with this tax ID 2

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

Ownership & related parties

All disclosed owners & managing parties 3

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

NameRoleSinceShare
John Burns Individual Corporate OfficerPresident Oct 1, 2017 100%
Corporate DirectorPresident/Ceo Oct 1, 2017
William Blackwell Individual W-2 Managing EmployeeAdministrator, VP Health Services Oct 1, 2017
Russell Gardner Individual Corporate OfficerChief Financial Officer Oct 1, 2017 100%

All facility ownership & control disclosures 2

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

FacilityTypeRoleSince
Westminster Canterbury CorporationRichmond, VA, CCN 495096 Skilled nursing facility 5% Or Greater Direct Ownership Interest
5% Or Greater Security Interest		 Oct 1, 1975
Nov 9, 2011
Westminster Canterbury Richmond at Home, LLCRichmond, VA, CCN 491633 Hospice Operational/Managerial Control (100%) Jul 28, 2017

Owned or controlled facilities with NPI records 2

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

Practitioners & affiliated clinicians

Affiliated clinicians 10

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

NPI Registry JSON

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

{
    "created_epoch": "1508112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508112000000",
    "number": "1215448311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 WESTBROOK AVE",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232273311",
            "telephone_number": "804-292-3500",
            "fax_number": "804-264-4568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 WESTBROOK AVE",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232273311",
            "telephone_number": "804-292-3500",
            "fax_number": "804-264-4568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTMINSTER-CANTERBURY CORPORATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WESTMINSTER-CANTERBURY CORPORATION",
        "enumeration_date": "2017-10-16",
        "last_updated": "2017-10-16",
        "status": "A",
        "authorized_official_last_name": "BLACKWELL",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "804-292-3500",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Westminster-Canterbuy Richmond at Home, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Richmond, VA

Sources for this page

Verify at the official NPI Registry.