NPIMap

Organization Active NPI

Essential Needs Homecare

  • Developmentally Disabled Services Day Training Agency
  • Fairmont, WV
National Provider Identifier
1043759368
Registry record updated Mar 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
License
22893837 Issued in WV
Legal business name
ESSENTIAL NEEDS HOMECARE
Practice address
16 Mountain Park Dr
Fairmont, WV 26554-8992
Phone
(304) 816-3687
Fax
(304) 816-3737
NPI assigned
Feb 20, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2024

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

Authorized official

Name
Nancy J Collins, RN
Title
Owner
Phone
(304) 816-3687

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X 22893837 WV Primary

Addresses

Primary practice location

16 Mountain Park Dr
Fairmont, WV 26554-8992

Mailing address

2019 Pleasant Valley Rd
Fairmont, WV 26554-9295
Phone (304) 816-3687

Other identifiers 1

IdentifierTypeStateIssuer
1821424755MedicaidWV

National Provider Directory

National Provider Directory
Tax ID family
Essential Needs Homecare6 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.

NPI Registry JSON

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

{
    "created_epoch": "1487548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710460800000",
    "number": "1043759368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2019 PLEASANT VALLEY RD",
            "city": "FAIRMONT",
            "state": "WV",
            "postal_code": "265549295",
            "telephone_number": "304-816-3687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 MOUNTAIN PARK DR",
            "city": "FAIRMONT",
            "state": "WV",
            "postal_code": "265548992",
            "telephone_number": "304-816-3687",
            "fax_number": "304-816-3737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESSENTIAL NEEDS HOMECARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-20",
        "last_updated": "2024-03-15",
        "certification_date": "2024-03-15",
        "status": "A",
        "authorized_official_last_name": "COLLINS",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "304-816-3687",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "WV",
            "license": "22893837",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1821424755",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairmont, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2024; 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.