Moundsville Center LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

MOUNDSVILLE CENTER LLC

Doing business as

Stonerise Moundsville

Practice address

2200 Floral St
Moundsville, WV 26041-1293

Phone

(304) 843-1035

Fax

(304) 843-1504

NPI assigned

Jun 20, 2018

Organization subpart

No

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

Authorized official

Name

Mr. Lawrence A Pack

Title

Member

Phone

(304) 343-1950

Specialties & licenses 1

Addresses

Other names 1

• Stonerise Moundsville Doing business as

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

{
    "created_epoch": "1529452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652832000000",
    "number": "1063906303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 CHAPPELL RD",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253042704",
            "telephone_number": "304-343-1950",
            "fax_number": "304-343-1947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 FLORAL ST",
            "city": "MOUNDSVILLE",
            "state": "WV",
            "postal_code": "260411293",
            "telephone_number": "304-843-1035",
            "fax_number": "304-843-1504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNDSVILLE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-20",
        "last_updated": "2022-05-18",
        "certification_date": "2022-05-18",
        "status": "A",
        "authorized_official_last_name": "PACK",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "304-343-1950",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stonerise Moundsville",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lacey Morgan, FNP-C
• Tabetha Ann Morgan
• Adrian James Moses, MPT
• Rebecca J Moses, MPT
• Mound View Health Care, Inc.
• Moundsville SNF LLC
• Nicole Mozingo
• Cindy Mucheck, RN
• Charlottie Mull
• Donna Ann Mullins

• Skilled Nursing Facility in Moundsville, WV
• Providers in Moundsville, 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 May 18, 2022; 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.