NPIMap

Organization Active NPI

Westminster Manor

Doing business as Westminster Wellness Clinic

  • Health Service Clinic/Center
  • Austin, TX
National Provider Identifier
1306314539
Registry record updated Nov 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
WESTMINSTER MANOR
Doing business as
Westminster Wellness Clinic
Practice address
4100 Jackson Ave
Austin, TX 78731-6056
Phone
(512) 454-4711
Fax
(512) 454-1389
NPI assigned
Nov 6, 2018
Last updated
Nov 6, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2018

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

Authorized official

Name
Sarah Loyd
Title
Associate Executive Director
Phone
(512) 600-7313

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X Primary

Addresses

Primary practice location

4100 Jackson Ave
Austin, TX 78731-6056

Mailing address

4100 Jackson Ave
Austin, TX 78731-6056
Phone (512) 454-4711

Other names 1

  • Westminster Wellness Clinic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20181231001239 TX Part B Supplier - Clinic/Group Practice 3678590411 Receives reassigned benefits from 4 practitioners
Practice locations: Austin, TX

Other NPIs with the same Medicare PAC ID 1

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

National Provider Directory

National Provider Directory
Tax ID family
Westminster Manor2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Ownership & related parties

All facility ownership & control disclosures 1

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

FacilityTypeRoleSince
The Arbour at Westminister ManorAustin, TX, CCN 676099 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Sep 6, 1973

Owned or controlled facilities with NPI records 1

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

  • Westminster Manor

    dba The Arbour at Westminster Manor

    • Skilled Nursing Facility
    • Austin, TX
    • NPI 1497737472

    5% Or Greater Direct Ownership Interest

    CMS ownership

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1541462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1541462400000",
    "number": "1306314539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4100 JACKSON AVE",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787316056",
            "telephone_number": "512-454-4711",
            "fax_number": "512-454-1389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 JACKSON AVE",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787316056",
            "telephone_number": "512-454-4711",
            "fax_number": "512-454-1389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTMINSTER MANOR",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-06",
        "last_updated": "2018-11-06",
        "status": "A",
        "authorized_official_last_name": "LOYD",
        "authorized_official_first_name": "SARAH",
        "authorized_official_title_or_position": "ASSOCIATE EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "512-600-7313"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Westminster Wellness Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.