Westdale Manor, Incorporated

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

FCL-041-027 Issued in NC

Legal business name

WESTDALE MANOR, INCORPORATED

Doing business as

Westdale Manor

Practice address

303 Westdale PL
Greensboro, NC 27403-1473

Phone

(336) 273-7912

NPI assigned

Apr 2, 2007

Organization subpart

No

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

Authorized official

Name

Amma Allen

Title

Administrator

Phone

(336) 558-8411

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Westdale Manor Doing business as

Tax ID family

Benbow 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.

• B&R Management & Associates,Inc

  • Adult Care Home Facility
  • Greensboro, NC
  • NPI 1851412522
  NPD tax ID

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756771200000",
    "number": "1346361094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 21693",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274201693",
            "telephone_number": "336-273-7912",
            "fax_number": "336-275-5696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 WESTDALE PL",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274031473",
            "telephone_number": "336-273-7912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTDALE MANOR, INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-02",
        "last_updated": "2025-09-02",
        "certification_date": "2024-01-09",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "AMMA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "336-558-8411"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "NC",
            "license": "FCL-041-027",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7801986",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Westdale Manor",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kelly Leigh West, M.D., PH.D.
• Marcus Marcellus West
• Nzingha West
• Olivia West, RN
• Melissa Tishok Westall, AU.D.
• Kelly Lynn Wester, PHD, LPC
• Carola J Westermann, M.D.
• Lauren Westlund, MS CCC-SLP
• Annette Weston
• Benjamin Dale Weston, DDS

• Adult Care Home Facility in Greensboro, NC
• Providers in Greensboro, NC by specialty
• Adult Care Home Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.