Organization Active NPI

Westchester Retirement Communites, Inc.

Doing business as Heritage Square

  • Assisted Living Facility
  • Fort Worth, TX
National Provider Identifier
1366566085
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
117764 Issued in TX
Legal business name
WESTCHESTER RETIREMENT COMMUNITES, INC.
Doing business as
Heritage Square
Practice address
500 S Beach St
Fort Worth, TX 76105-1104
Phone
(817) 534-0013
Fax
(817) 535-1362
NPI assigned
Mar 19, 2007
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
Mrs. Johnnie M Benson
Title
Consultant Management
Phone
(817) 535-3827

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 117764 TX Primary

Addresses

Primary practice location

500 S Beach St
Fort Worth, TX 76105-1104

Mailing address

150 S Beach St
Suite B
Fort Worth, TX 76105-1162
Phone (817) 535-3827

Other names 1

  • Heritage Square Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Greenbriar Mansion3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

150 S Beach St
Ste B
Fort Worth, TX 76105

NPI Registry JSON

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1366566085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 S BEACH ST",
            "address_2": "SUITE B",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761051162",
            "telephone_number": "817-535-3827",
            "fax_number": "817-535-1362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 S BEACH ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761051104",
            "telephone_number": "817-534-0013",
            "fax_number": "817-535-1362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTCHESTER RETIREMENT COMMUNITES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BENSON",
        "authorized_official_first_name": "JOHNNIE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CONSULTANT MANAGEMENT",
        "authorized_official_telephone_number": "817-535-3827",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "TX",
            "license": "117764",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heritage Square",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.