NPIMap

Organization Active NPI

Committee for Hancock County Senior Citizens, Inc.

  • Case Management Agency
  • New Cumberland, WV
National Provider Identifier
1083989701
Registry record updated Mar 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
COMMITTEE FOR HANCOCK COUNTY SENIOR CITIZENS, INC.
Practice address
647 Gas Valley Road
New Cumberland, WV 26047-1284
Phone
(304) 564-3801
Fax
(304) 387-2693
NPI assigned
Mar 13, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2012

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

Authorized official

Name
E Mark Knabenshue
Title
Executive Director
Phone
(304) 564-3801

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary
Home Health Agency 251E00000X

Addresses

Primary practice location

647 Gas Valley Road
New Cumberland, WV 26047-1284

Mailing address

647 Gas Valley Road
PO Box 1284
New Cumberland, WV 26047-1284
Phone (304) 564-3801

Other identifiers 3

IdentifierTypeStateIssuer
4703006000MedicaidWV
4703006002MedicaidWV
4703006001MedicaidWV

Other names 1

  • HANCOCK COUNTY SENIOR WELLNESS CENTER Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Committee for Hancock County Senior Citizens 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.

NPI Registry JSON

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

{
    "created_epoch": "1331596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331596800000",
    "number": "1083989701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "647 GAS VALLEY ROAD",
            "address_2": "PO BOX 1284",
            "city": "NEW CUMBERLAND",
            "state": "WV",
            "postal_code": "260471284",
            "telephone_number": "304-564-3801",
            "fax_number": "304-387-2693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "647 GAS VALLEY ROAD",
            "city": "NEW CUMBERLAND",
            "state": "WV",
            "postal_code": "260471284",
            "telephone_number": "304-564-3801",
            "fax_number": "304-387-2693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMITTEE FOR HANCOCK COUNTY SENIOR CITIZENS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-13",
        "last_updated": "2012-03-13",
        "status": "A",
        "authorized_official_last_name": "KNABENSHUE",
        "authorized_official_first_name": "E",
        "authorized_official_middle_name": "MARK",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "304-564-3801"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4703006000",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4703006002",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4703006001",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HANCOCK COUNTY SENIOR WELLNESS CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New Cumberland, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2012; 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.