- Enrollment id
- O20190315000614
- Enrollment state
- VA
- Provider type code
- 00-08
- Provider type text
- PART A PROVIDER - HOSPICE
- Npi
- 1508334640
- Multiple npi flag
- N
- Ccn
- 491633
- Associate id
- 3577654219
- Organization name
- WESTMINSTER CANTERBURY CORPORATION
- Doing business as name
- WESTMINSTER CANTERBURY RICHMOND AT HOME, LLC
- Incorporation date
- 2017-07-21
- Incorporation state
- VA
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- N
- Address line 1
- 1600 WESTBROOK AVE
- City
- RICHMOND
- State
- VA
- Zip code
- 232273337