Sterling Health Care Management, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

135 Issued in WV

Legal business name

STERLING HEALTH CARE MANAGEMENT, INC.

Doing business as

Boone Nursing & Rehabilitation Center

Practice address

462 Kenmore Drive
Danville, WV 25053-0605

Phone

(304) 369-0986

Fax

(304) 369-2891

NPI assigned

Oct 12, 2005

Organization subpart

No

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

Authorized official

Name

Raymond L. Tyler Jr.

Title

Executive Vice President and Coo

Phone

(615) 771-7575

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Boone Nursing & Rehabilitation Center Doing business as

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Diversicare Leasing LP

  • Skilled Nursing Facility
  • Martin, TN
  • NPI 1538157664

  Member Of

  NPD member

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

{
    "created_epoch": "1129075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1063400109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 605",
            "address_2": "462 KENMORE DRIVE",
            "city": "DANVILLE",
            "state": "WV",
            "postal_code": "250530605",
            "telephone_number": "304-369-0986",
            "fax_number": "304-369-2891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "462 KENMORE DRIVE",
            "city": "DANVILLE",
            "state": "WV",
            "postal_code": "250530605",
            "telephone_number": "304-369-0986",
            "fax_number": "304-369-2891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STERLING HEALTH CARE MANAGEMENT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TYLER",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "EXECUTIVE VICE PRESIDENT AND COO",
        "authorized_official_telephone_number": "615-771-7575",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "WV",
            "license": "135",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3572000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Boone Nursing & Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Taya Spradlin
• Carol Sue Spurlock
• Ashley Stamper
• Anthony Wayne Starkey
• Sydney Steele
• Brandy Stewart
• Krista Stollings
• Kourtney Stout
• Crystal Stowers
• Joyce Stowers

• Skilled Nursing Facility in Danville, WV
• Providers in Danville, WV by specialty
• Skilled Nursing Facility in West Virginia

• 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.