NPIMap

Organization Active NPI

Children'S Home Society of West Virginia

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Charleston, WV
National Provider Identifier
1043339906
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X
License
06GRR005 Issued in WV
Legal business name
CHILDREN'S HOME SOCIETY OF WEST VIRGINIA
Practice address
1422 Kanawha Blvd E
Charleston, WV 25301-3002
Phone
(304) 346-0795
Fax
(304) 346-1062
NPI assigned
Mar 29, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Kimberly C. Arthur
Title
Chief Financial Officer
Phone
(304) 346-0795

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X 06GRR005 WV Primary

Addresses

Primary practice location

1422 Kanawha Blvd E
Charleston, WV 25301-3002

Mailing address

1422 Kanawha Blvd E
Charleston, WV 25301-3002
Phone (304) 346-0795

Other identifiers 1

IdentifierTypeStateIssuer
0023441003MedicaidWV

National Provider Directory

National Provider Directory
Tax ID family
Children'S Home Society of West Virginia6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

Locations

1422 Kanawha Blvd E
Charleston, WV 25301
Phone (304) 345-3891

NPI Registry JSON

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1043339906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1422 KANAWHA BLVD E",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253013002",
            "telephone_number": "304-346-0795",
            "fax_number": "304-346-1062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1422 KANAWHA BLVD E",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253013002",
            "telephone_number": "304-346-0795",
            "fax_number": "304-346-1062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDREN'S HOME SOCIETY OF WEST VIRGINIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ARTHUR",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "304-346-0795"
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "WV",
            "license": "06GRR005",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0023441003",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.