Organization Active NPI

Worthington Nursing & Rehabilitation Center LLC

  • Skilled Nursing Facility
  • Parkersburg, WV
National Provider Identifier
1134119555
Registry record updated Dec 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
56 Issued in WV
Legal business name
WORTHINGTON NURSING & REHABILITATION CENTER LLC
Practice address
2675 36TH St
Parkersburg, WV 26104-8024
Phone
(304) 485-7447
Fax
(304) 485-9344
NPI assigned
Oct 26, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2012

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

Authorized official

Name
Mr. Moshe Orlinsky
Title
Managing Member
Phone
(314) 588-7518

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 56 WV Primary

Addresses

Primary practice location

2675 36TH St
Parkersburg, WV 26104-8024

Mailing address

2675 36TH St
Parkersburg, WV 26104-8024
Phone (304) 448-5744

Other identifiers 1

IdentifierTypeStateIssuer
0003905000MedicaidWV

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1130284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355356800000",
    "number": "1134119555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2675 36TH ST",
            "city": "PARKERSBURG",
            "state": "WV",
            "postal_code": "261048024",
            "telephone_number": "304-448-5744",
            "fax_number": "304-485-9344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2675 36TH ST",
            "city": "PARKERSBURG",
            "state": "WV",
            "postal_code": "261048024",
            "telephone_number": "304-485-7447",
            "fax_number": "304-485-9344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WORTHINGTON NURSING & REHABILITATION CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-26",
        "last_updated": "2012-12-13",
        "status": "A",
        "authorized_official_last_name": "ORLINSKY",
        "authorized_official_first_name": "MOSHE",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "314-588-7518",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "WV",
            "license": "56",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0003905000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Parkersburg, WV

Sources for this page

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