Stonebrook Community Services LLC

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

Legal business name

STONEBROOK COMMUNITY SERVICES LLC

Practice address

200 Lutz Ave
Martinsburg, WV 25404-5720

Phone

(304) 267-2763

NPI assigned

Nov 17, 2020

Organization subpart

No

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

Authorized official

Name

David Alan Pruett, CPA

Title

Cfo

Phone

(540) 562-8462

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1605571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605571200000",
    "number": "1063015618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 LUTZ AVE",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "254045720",
            "telephone_number": "304-267-2763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 LUTZ AVE",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "254045720",
            "telephone_number": "304-267-2763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STONEBROOK COMMUNITY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-17",
        "last_updated": "2020-11-17",
        "certification_date": "2020-11-17",
        "status": "A",
        "authorized_official_last_name": "PRUETT",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "540-562-8462",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brianna Nicole Stocks
• Virginia Lee Stocks
• Jamie Stokes
• Jocelyn Fern Osnes Stokes, PHD
• Jodi Stollings
• Barbara Stotler
• Michelle Renee Stotler
• Megan Stracka, RN
• Candice Stranathan
• Robert Salade Strauch, MD

• Developmentally Disabled Services Day Training Agency in Martinsburg, WV
• Providers in Martinsburg, WV by specialty
• Developmentally Disabled Services Day Training Agency in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 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.