NPIMap

Organization Active NPI

Home Base Inc.

  • Community/Behavioral Health Agency
  • Charleston, WV
National Provider Identifier
1083064695
Registry record updated Jun 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
440 Issued in WV
Legal business name
HOME BASE INC.
Practice address
713 Bigley Ave
Charleston, WV 25302-3356
Phone
(304) 746-2918
Fax
(304) 746-2919
NPI assigned
Jun 14, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2016

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

Authorized official

Name
Damon Case Cater, OWNER, CEO
Title
Owner, Ceo
Phone
(304) 746-2918

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X 440 WV
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X 440 WV
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X 440 WV
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X 440 WV
Community/Behavioral Health Agency 251S00000X 440 WV Primary

Addresses

Primary practice location

713 Bigley Ave
Charleston, WV 25302-3356

Mailing address

PO Box 20033
Charleston, WV 25362-1033
Phone (304) 746-2918

Other identifiers 3

IdentifierTypeStateIssuer
440OtherWVWEST VIRGINIA BEHAVIORAL HEALTHCARE LICENSE
9435000000MedicaidWV
9435000001MedicaidWV

National Provider Directory

National Provider Directory
Tax ID family
Home Base Inc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1465862400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465862400000",
    "number": "1083064695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 20033",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253621033",
            "telephone_number": "304-746-2918",
            "fax_number": "304-746-2919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "713 BIGLEY AVE",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253023356",
            "telephone_number": "304-746-2918",
            "fax_number": "304-746-2919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOME BASE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-14",
        "last_updated": "2016-06-14",
        "status": "A",
        "authorized_official_last_name": "CATER",
        "authorized_official_first_name": "DAMON",
        "authorized_official_middle_name": "CASE",
        "authorized_official_title_or_position": "OWNER, CEO",
        "authorized_official_telephone_number": "304-746-2918",
        "authorized_official_credential": "OWNER, CEO"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WV",
            "license": "440",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "WV",
            "license": "440",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "WV",
            "license": "440",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "WV",
            "license": "440",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "WV",
            "license": "440",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WEST VIRGINIA BEHAVIORAL HEALTHCARE LICENSE",
            "identifier": "440",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9435000000",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9435000001",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2016; 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.