1346830270 NPI number — WESTMINSTER PRESBYTERIAN HOMES, INC.

Table of content: (NPI 1346830270)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1346830270 NPI number — WESTMINSTER PRESBYTERIAN HOMES, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
WESTMINSTER PRESBYTERIAN HOMES, INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1346830270
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/08/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 926
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
QUITMAN
Provider Business Mailing Address State Name:
GA
Provider Business Mailing Address Postal Code:
31643-0926
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
229-263-6106
Provider Business Mailing Address Fax Number:
229-263-6195

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1400 LIVE OAK LANE
Provider Second Line Business Practice Location Address:
BUILDING 100
Provider Business Practice Location Address City Name:
ATHENS
Provider Business Practice Location Address State Name:
GA
Provider Business Practice Location Address Postal Code:
30606-3010
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
706-739-7516
Provider Business Practice Location Address Fax Number:
706-739-7516
Provider Enumeration Date:
01/25/2021

Additional Information

Authorized Official

Authorized Official Last Name:
ARRENDALE
Authorized Official First Name:
DIANNE
Authorized Official Middle Name:
Authorized Official Title or Position:
CFO
Authorized Official Telephone Number:
229-263-6194

Provider Taxonomy Codes

  • Taxonomy code: 333600000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 3336L0003X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 3336C0003X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2025 www.npivalidator.com