Canterbury of Shepherdstown, LP
Organization Active NPI Skilled Nursing Facility · Shepherdstown, WV
NPI 1619921277 · NPPES record last updated Jun 21, 2018
Key facts
- NPI
- 1619921277
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- License
- 133 (WV)
- Legal business name
- CANTERBURY OF SHEPHERDSTOWN, LP
- Practice address
- 80 Maddex Dr
Shepherdstown, WV 25443-4305 - Phone
- (304) 876-9422
- Fax
- (304) 876-6869
- NPI assigned
- May 19, 2006
- Organization subpart
- No
Authorized official
- Name
- Jane Dropeskey
- Title
- Corporate Manager
- Phone
- (610) 925-4231
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 133 | WV | Yes |
Addresses
Primary practice location
80 Maddex Dr
Shepherdstown, WV 25443-4305
Mailing address
101 E State St
Kennett Square, PA 19348-3109
Phone (610) 925-4436
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3126610 | Other | WV | AETNA - HMO |
| 02SS | Other | MD | CAREFIRST - PROV/INQ # |
| 268528 | Other | MD | UNITED HEALTHCARE-MAMSI |
| 000399209 | Other | WV | MOUNTAIN STATE BC/BS |
| PX9 | Other | MD | CAREFIRST - BLUE CHOICE |
| 0003509000 | Medicaid | WV | |
| PX9 | Other | DC | CAREFIRST - IND/PPO |
Other names
- Canterbury Center
Other providers in Shepherdstown, WV
- Christian Goswin Bonner
- Molly Bretone
- Ruth Ann Fedor Burns
- Joseph Harry Burton
- Canterbury Center Opco, LLC
- Alexandria Carthen-Franklin
- Cedar Spring Wellness PLLC
- Pratima Chandler
- Christine Hope Duewel LLC
- City Hospital Inc
All providers in Shepherdstown, WV · Skilled Nursing Facility in West Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 21, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.