Organization Active NPI

Presbyterian Retirement Communities, Inc.

Doing business as Westminster Communities of Bradenton, Westminster Manor

  • Skilled Nursing Facility
  • Bradenton, FL
National Provider Identifier
1225053473
Registry record updated Dec 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
SNF1597096 Issued in FL
Legal business name
PRESBYTERIAN RETIREMENT COMMUNITIES, INC.
Doing business as
Westminster Communities of Bradenton, Westminster Manor
Practice address
1700 21St Ave W
Bradenton, FL 34205-5717
Phone
(941) 748-4161
Fax
(941) 748-6673
NPI assigned
Jul 12, 2006
Last updated
Dec 29, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2008

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 SNF1597096 FL Primary

Addresses

Primary practice location

1700 21St Ave W
Bradenton, FL 34205-5717

Mailing address

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

Other identifiers 2

IdentifierTypeStateIssuer
020942200MedicaidFL
1222930003OtherFLDMERC SUPPLIER NUMBER

Other names 1

  • Westminster Communities of Bradenton, Westminster Manor Doing business as

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
10D2123736Westminster Manor of Bradenton1700 21St Ave W, Bradenton, FL 34205Certificate of waiverDec 29, 2026

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1230508800000",
    "number": "1225053473",
    "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": "1700 21ST AVE W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342055717",
            "telephone_number": "941-748-4161",
            "fax_number": "941-748-6673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESBYTERIAN RETIREMENT COMMUNITIES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-12",
        "last_updated": "2008-12-29",
        "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": "SNF1597096",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "020942200",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMERC SUPPLIER NUMBER",
            "identifier": "1222930003",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Westminster Communities of Bradenton, Westminster Manor",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bradenton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.