St. John'S/St. Vincent'S Home for Children, Inc

Primary specialty

Voluntary or Charitable AgencyTaxonomy code 251V00000X

License

238 Issued in WV

Legal business name

ST. JOHN'S/ST. VINCENT'S HOME FOR CHILDREN, INC

Doing business as

St. John's Home for Children

Practice address

141 Key Ave
Wheeling, WV 26003-7410

Phone

(304) 242-5633

Fax

(304) 243-4911

NPI assigned

Aug 27, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Terence A. McCormick, MSW, ACSW

Title

Executive Director

Phone

(304) 242-5633

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• St. John's Home for Children Doing business as

Tax ID family

St John'S Home for Children3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• St. John'S/St. Vincents'S Home for Children, Inc.

  • Voluntary or Charitable Agency
  • Wheeling, WV
  • NPI 1639369382
  NPD tax ID
• St. John'S/St.Vincent'S Home for Children, Inc.

  • Voluntary or Charitable Agency
  • Wheeling, WV
  • NPI 1386720167
  NPD tax ID

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

{
    "created_epoch": "1188172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188172800000",
    "number": "1003009747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 KEY AVE",
            "city": "WHEELING",
            "state": "WV",
            "postal_code": "260037410",
            "telephone_number": "304-242-5633",
            "fax_number": "304-243-4911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 KEY AVE",
            "city": "WHEELING",
            "state": "WV",
            "postal_code": "260037410",
            "telephone_number": "304-242-5633",
            "fax_number": "304-243-4911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. JOHN'S/ST. VINCENT'S HOME FOR CHILDREN, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-27",
        "last_updated": "2007-08-27",
        "status": "A",
        "authorized_official_last_name": "MCCORMICK",
        "authorized_official_first_name": "TERENCE",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "304-242-5633",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MSW, ACSW"
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": "WV",
            "license": "238",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0023582001",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St. John's Home for Children",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alexis Marie Sparks
• Samanth L Sparks
• Gary Bernard Spence
• Shayna Marie Spence
• Donna Lee Spratt, MD
• St. John'S/St. Vincents'S Home for Children, Inc.
• St. John'S/St.Vincent'S Home for Children, Inc.
• Carla Jo St. Myers, FNP-BC
• Charles Henry Staab III, MD
• Terry L Stake, M.D.

• Voluntary or Charitable Agency in Wheeling, WV
• Providers in Wheeling, WV by specialty
• Voluntary or Charitable Agency in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2007; 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.