Westminster Village North, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

09-000084-1 Issued in IN

Legal business name

WESTMINSTER VILLAGE NORTH, INC.

Practice address

11050 Presbyterian Drive
Indianapolis, IN 46236-2982

Phone

(317) 823-6841

Fax

(317) 826-8590

NPI assigned

Aug 10, 2006

Organization subpart

No

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

Authorized official

Name

Mr. William R. Lee

Title

Director of Finance

Phone

(317) 823-6841

Specialties & licenses 2

Addresses

Other identifiers 1

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268092800000",
    "number": "1972514891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11050 PRESBYTERIAN DRIVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462362982",
            "telephone_number": "317-823-6841",
            "fax_number": "317-826-8590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11050 PRESBYTERIAN DRIVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462362982",
            "telephone_number": "317-823-6841",
            "fax_number": "317-826-8590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTMINSTER VILLAGE NORTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-10",
        "last_updated": "2010-03-09",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "DIRECTOR OF FINANCE",
        "authorized_official_telephone_number": "317-823-6841",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IN",
            "license": "050000841",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IN",
            "license": "09-000084-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100284600A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Skilled Nursing Facility in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Skilled Nursing Facility in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2010; 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.