Active NPI
Weirton Health Care
- Home Health Agency
- Weirton, WV
National Provider Identifier
1104984939
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 040859
- Legal business name
- WEIRTON HEALTH CARE
- Practice address
- 2525 Pennsylvania Ave
Weirton, WV 26062-3634 - Phone
- (304) 723-2230
- Fax
- (304) 723-3849
- NPI assigned
- Dec 5, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Louis Serra
- Title
- Ceo
- Phone
- (304) 723-2230
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 040859 | WV | Primary |
Addresses
Primary practice location
2525 Pennsylvania Ave
Weirton, WV 26062-3634
Mailing address
2525 Pennsylvania Ave
Weirton, WV 26062-3634
Phone (304) 723-2230
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0003965001 | Medicaid | WV |
National Provider Directory
National Provider Directory- Tax ID family
- Weirton Health Care
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Home Health Agency
- Weirton, WV
- NPI 1245336106
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165276800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1104984939",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2525 PENNSYLVANIA AVE",
"city": "WEIRTON",
"state": "WV",
"postal_code": "260623634",
"telephone_number": "304-723-2230",
"fax_number": "304-723-3849"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2525 PENNSYLVANIA AVE",
"city": "WEIRTON",
"state": "WV",
"postal_code": "260623634",
"telephone_number": "304-723-2230",
"fax_number": "304-723-3849"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WEIRTON HEALTH CARE",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-05",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "SERRA",
"authorized_official_first_name": "LOUIS",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "304-723-2230",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "WV",
"license": "040859",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0003965001",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Weirton, WV
Sources for this page
- 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.