Active NPI
Westminster-Canterbury of the Blue Ridge
- Skilled Nursing Facility
- Charlottesville, VA
National Provider Identifier
1770589079
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- NH2722
- Legal business name
- WESTMINSTER-CANTERBURY OF THE BLUE RIDGE
- Practice address
- 250 Pantops Mountain Rd
Charlottesville, VA 22911-8694 - Phone
- (434) 972-3100
- NPI assigned
- Jun 22, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Anna D Buchanan
- Title
- Chief Financial Officer
- Phone
- (434) 972-3170
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | VLO-03-314 | VA | |
| Skilled Nursing Facility | 314000000X | NH2722 | VA | Primary |
Addresses
Primary practice location
250 Pantops Mountain Rd
Charlottesville, VA 22911-8694
Mailing address
250 Pantops Mountain Rd
Charlottesville, VA 22911-8694
Phone (434) 972-3100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20111206000571 | VA | Part A Provider - Skilled Nursing Facility | 7214102011 | Practice locations: Charlottesville, VA |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1770589079. Details of each certification follow.
Skilled nursing facility certification: CCN 495225
- Legal name
- WESTMINSTER-CANTERBURY OF THE BLUE RIDGE
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Nov 21, 1990
- Last certification
- Mar 9, 2023
- Beds
- 52 (27 certified)
- Ownership / control type
- Corporation
- Organization structure
- Other
- Enrollment address
- 250 Pantops Mountain Rd
Charlottesville, VA 22911-8686 - Nursing home name
- WESTMINSTER CANTERBURY BLUE RI
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Westminster Canterbury Blue Ri
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- Nov 21, 1990
- Medicare certification status
- Active
- Certified beds
- 27
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 3
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Tyler Kendall | Corporate Officer | Jul 8, 2024 | 100% |
| Operational/Managerial Control | Jul 8, 2024 | ||
| Direct Ownership Interest | Jul 8, 2024 | ||
| David Paul Bruton | Corporate Officer | Mar 16, 2026 | 100% |
| Direct Ownership Interest | Mar 16, 2026 | ||
| Westminster-Canterbury of the Blue Ridge | Adp of the SNF | Nov 21, 1990 | |
| Direct Ownership Interest | Nov 21, 1990 | 100% |
Practitioners & affiliated clinicians
Affiliated clinicians 1
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Geriatric Medicine (Internal Medicine) Physician
- Charlottesville, VA
- NPI 1013216266
Nursing home
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119398400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1602720000000",
"number": "1770589079",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "250 PANTOPS MOUNTAIN RD",
"city": "CHARLOTTESVILLE",
"state": "VA",
"postal_code": "229118694",
"telephone_number": "434-972-3100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "250 PANTOPS MOUNTAIN RD",
"city": "CHARLOTTESVILLE",
"state": "VA",
"postal_code": "229118694",
"telephone_number": "434-972-3100"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WESTMINSTER-CANTERBURY OF THE BLUE RIDGE",
"organizational_subpart": "NO",
"enumeration_date": "2005-06-22",
"last_updated": "2020-10-15",
"certification_date": "2020-10-15",
"status": "A",
"authorized_official_last_name": "BUCHANAN",
"authorized_official_first_name": "ANNA",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
"authorized_official_telephone_number": "434-972-3170"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": "VA",
"license": "VLO-03-314",
"primary": false
},
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "VA",
"license": "NH2722",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Charlottesville, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.