NPIMap

Organization Active NPI

Westminster Pines, Inc.

Doing business as dba Westminster St. Augustine

  • Skilled Nursing Facility
  • St Augustine, FL
National Provider Identifier
1386168359
Registry record updated Aug 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
WESTMINSTER PINES, INC.
Doing business as
dba Westminster St. Augustine
Practice address
235 Towerview Drive
St. Augustine, FL 32092
Phone
(904) 940-4800
NPI assigned
Aug 1, 2017
Last updated
Aug 1, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2017

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

Authorized official

Name
Henry T Keith, CPA
Title
Sr. V.P. & Cfo
Phone
(407) 839-5050

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

235 Towerview Drive
St. Augustine, FL 32092

Mailing address

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

Other names 1

  • dba Westminster St. Augustine Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171206001933 FL Part A Provider - Skilled Nursing Facility 9931466562 Practice locations: St Augustine, FL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1386168359. Details of each certification follow.

Skilled nursing facility certification: CCN 106040

Legal name
WESTMINSTER PINES INC
Doing business as
WESTMINSTER ST. AUGUSTINE
Certification status
Active
Provider type (POS)
Nursing home – SNF (Medicare) only
Participating since
Jan 3, 2002
Last certification
Jan 5, 2024
Beds
30
Ownership / control type
Church Related
Multi-facility organization
Westminster Communities of Florida/Presbyterian Retirement Communities
Organization structure
CorporationNon-profit
Incorporated
Jul 13, 2001 in FL
Enrollment address
235 Towerview Dr
St Augustine, FL 32092-2790
Nursing home name
WESTMINSTER ST AUGUSTINE
Affiliated entity
WESTMINSTER COMMUNITIES OF FLORIDA

Care Compare: Nursing home

Medicare Care Compare
Listed as
Westminster St AugustineCCN 106040 · All quality measures
Overall star rating
5 of 5
Health inspections
5 of 5
Staffing
5 of 5
Quality measures
5 of 5
Type
Medicare
Ownership
Non profit - Church related
Certified
Jan 3, 2002
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
3026.8 residents per day on average
Chain
Westminster Communities of Florida9 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Tax ID family
Dba Westminster St Augustine2 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.

Networks

  • Freedom Health HMO NetworkPlans: Freedom Platinum Rewards Plan Rx (HMO) (H5427-102-000, H5427); Freedom VIP Care (HMO C-SNP) (H5427-070-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-108-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-099-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-107-000, H5427); Freedom Máximo (HMO-POS) (H5427-113-000, H5427); Freedom Savings Plan (HMO) (H5427-052-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-096-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-105-000, H5427); Freedom Medi-Medi Full (HMO D-SNP) (H5427-087-000, H5427)…
  • Optimum HealthCare HMO NetworkPlans: Optimum Diamond Rewards (HMO C-SNP) (H5594-028-000, H5594); Optimum Diamond (HMO C-SNP) (H5594-036-000, H5594); Optimum Diamond Rewards (HMO C-SNP) (H5594-034-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-029-000, H5594); Optimum Platinum Plan (HMO) (H5594-002-000, H5594); Optimum Gold Plus Plan (HMO) (H5594-032-000, H5594); Optimum Diamond Savings COPD (HMO C-SNP) (H5594-031-000, H5594); Optimum Diamond Savings (HMO C-SNP) (H5594-030-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-035-000, H5594)

Ownership & related parties

All disclosed owners & managing parties 7

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

NameRoleSinceShare
Henry Keith Individual Corporate OfficerCfo Jan 1, 1995
Corporate Director Jan 1, 2024 100%
Operational/Managerial Control Jan 1, 2024
Adp of the SNF Jan 1, 2024
Garry Hennis Individual Corporate OfficerCoo & Exec Vice President Jan 1, 2024
Donald D Doddridge Individual Corporate OfficerChairman Jan 1, 2025
Megan Faubel Individual Corporate OfficerSecretary Jan 1, 2024
David a Heise Individual Operational/Managerial Control Jan 1, 2017
Adp of the SNF Apr 16, 2025
Misty Degross Individual Operational/Managerial Control Mar 3, 2022
Adp of the SNF Apr 16, 2025
Westminster Services Inc Organization, Orlando, FL Corporation, Management services company, Non-profit, Chain home office Operational/Managerial Control Oct 24, 2017 100%
Adp of the SNF Jan 29, 2025

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 6

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 1

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.

Affiliated clinicians 2

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": "1501545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1501545600000",
    "number": "1386168359",
    "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": "235 TOWERVIEW DRIVE",
            "city": "ST. AUGUSTINE",
            "state": "FL",
            "postal_code": "32092",
            "telephone_number": "904-940-4800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTMINSTER PINES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-01",
        "last_updated": "2017-08-01",
        "status": "A",
        "authorized_official_last_name": "KEITH",
        "authorized_official_first_name": "HENRY",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "SR. V.P. & CFO",
        "authorized_official_telephone_number": "407-839-5050",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "dba Westminster St. Augustine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in St Augustine, FL

Sources for this page

Verify at the official NPI Registry.