Organization Active NPI

Ncgcare Acquisition, LLC

  • Psychiatry Physician
  • Huntington, WV
National Provider Identifier
1104348556
Registry record updated Aug 30, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
NCGCARE ACQUISITION, LLC
Practice address
5317 Cherry Lawn Rd
Huntington, WV 25705-2032
Phone
(304) 302-2078
Fax
(304) 302-7260
NPI assigned
Jul 7, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2017

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

Authorized official

Name
Darryl Stanford
Title
Vice President, Revenue Cycle
Phone
(919) 868-8482

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

5317 Cherry Lawn Rd
Huntington, WV 25705-2032

Mailing address

PO Box 11247
Richmond, VA 23230-1247

Other names 1

  • Starlight Behavioral Health Services Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Ncgcare Acquisition LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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": "1499385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1504051200000",
    "number": "1104348556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11247",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232301247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5317 CHERRY LAWN RD",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257052032",
            "telephone_number": "304-302-2078",
            "fax_number": "304-302-7260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NCGCARE ACQUISITION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-07",
        "last_updated": "2017-08-30",
        "status": "A",
        "authorized_official_last_name": "STANFORD",
        "authorized_official_first_name": "DARRYL",
        "authorized_official_title_or_position": "VICE PRESIDENT, REVENUE CYCLE",
        "authorized_official_telephone_number": "919-868-8482"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Starlight Behavioral Health Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Starlight Behavioral Health Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Huntington, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2017; 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.