NPIMap

Organization Active NPI

Putnam County Aging, Inc.

  • Home Health Agency
  • Saint Albans, WV
National Provider Identifier
1124238803
Registry record updated Aug 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
PUTNAM COUNTY AGING, INC.
Practice address
694 Winfield Rd
Saint Albans, WV 25177-1554
Phone
(304) 755-2385
Fax
(304) 755-8247
NPI assigned
May 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2008

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

Authorized official

Name
Ms. Debra Doss
Title
Fiscal Officer
Phone
(304) 755-2385

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

694 Winfield Rd
Saint Albans, WV 25177-1554

Mailing address

694 Winfield Rd
Saint Albans, WV 25177-1554
Phone (304) 755-2385

Other identifiers 4

IdentifierTypeStateIssuer
0030736000MedicaidWV
0030736001MedicaidWV
0030736002MedicaidWV
3810001928MedicaidWV

National Provider Directory

National Provider Directory
Tax ID family
Putnam County Aging Program Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

694 Winfield Rd
Saint Albans, WV 25177
Phone (304) 755-2385

NPI Registry JSON

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217894400000",
    "number": "1124238803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "694 WINFIELD RD",
            "city": "SAINT ALBANS",
            "state": "WV",
            "postal_code": "251771554",
            "telephone_number": "304-755-2385",
            "fax_number": "304-755-8247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "694 WINFIELD RD",
            "city": "SAINT ALBANS",
            "state": "WV",
            "postal_code": "251771554",
            "telephone_number": "304-755-2385",
            "fax_number": "304-755-8247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PUTNAM COUNTY AGING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-23",
        "last_updated": "2008-08-05",
        "status": "A",
        "authorized_official_last_name": "DOSS",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_title_or_position": "FISCAL OFFICER",
        "authorized_official_telephone_number": "304-755-2385",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0030736000",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0030736001",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0030736002",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810001928",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Albans, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2008; 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.