NPIMap

Organization Active NPI

Rescare West Virginia, Incorporated

  • Intellectual Disabilities Intermediate Care Facility
  • Clarksburg, WV
National Provider Identifier
1124182092
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
License
318 Issued in WV
Legal business name
RESCARE WEST VIRGINIA, INCORPORATED
Practice address
408 Fowler Ave
Clarksburg, WV 26301-3314
Phone
(304) 622-0844
Fax
(304) 622-0844
NPI assigned
Dec 21, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Jackie Canfield
Title
Executive Director
Phone
(304) 326-0140

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X 318 WV Primary

Addresses

Primary practice location

408 Fowler Ave
Clarksburg, WV 26301-3314

Mailing address

1618 Buckhannon Pike
Nutter Fort, WV 26301-4465
Phone (304) 326-0140

National Provider Directory

National Provider Directory
Tax ID family
Rescare Inc27 organizations share this tax ID, including this one

Other organizations with this tax ID 26

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

View all 26

NPI Registry JSON

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

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1124182092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1618 BUCKHANNON PIKE",
            "city": "NUTTER FORT",
            "state": "WV",
            "postal_code": "263014465",
            "telephone_number": "304-326-0140",
            "fax_number": "304-326-0152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "408 FOWLER AVE",
            "city": "CLARKSBURG",
            "state": "WV",
            "postal_code": "263013314",
            "telephone_number": "304-622-0844",
            "fax_number": "304-622-0844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESCARE WEST VIRGINIA, INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CANFIELD",
        "authorized_official_first_name": "JACKIE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "304-326-0140",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "WV",
            "license": "318",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarksburg, 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.

Verify at the official NPI Registry.