Organization Active NPI

BCC Martinsburg Operations, LLC

Doing business as Elmcroft of Martinsburg

  • Assisted Living Facility
  • Martinsburg, WV
National Provider Identifier
1043648553
Registry record updated Oct 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
507396 Issued in WV
Legal business name
BCC MARTINSBURG OPERATIONS, LLC
Doing business as
Elmcroft of Martinsburg
Practice address
200 Gloucester Dr
Martinsburg, WV 25401-2983
Phone
(304) 267-5800
Fax
(304) 267-5803
NPI assigned
Oct 18, 2013
Last updated
Oct 18, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2013

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

Authorized official

Name
Ms. Robin L Barber, JD
Title
Vice President
Phone
(502) 753-6004

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 507396 WV Primary

Addresses

Primary practice location

200 Gloucester Dr
Martinsburg, WV 25401-2983

Mailing address

9510 Ormsby Station Rd
Suite 101
Louisville, KY 40223-4081
Phone (502) 753-6004

Other names 1

  • Elmcroft of Martinsburg Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1382054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1382054400000",
    "number": "1043648553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9510 ORMSBY STATION RD",
            "address_2": "SUITE 101",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402234081",
            "telephone_number": "502-753-6004",
            "fax_number": "502-753-6104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 GLOUCESTER DR",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "254012983",
            "telephone_number": "304-267-5800",
            "fax_number": "304-267-5803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BCC MARTINSBURG OPERATIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-18",
        "last_updated": "2013-10-18",
        "status": "A",
        "authorized_official_last_name": "BARBER",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "502-753-6004",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "JD"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "WV",
            "license": "507396",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elmcroft of Martinsburg",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Martinsburg, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2013; 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.